Özet:

Purpose: In this study, the third stage is aimed at assessing the incidence, surgical treatment, histological and anatomical distribution of patients operated with radium primary bone tumor diagnosis at an ortopedic oncology center. A total of 96 patients (37 women, 59 men) with radium bone tumor diagnosis in the period of seven years (2003-2020) were examined. Patients were evaluated according to age, gender, complaints, tumor degree, location, treatment method, nick and functional results. Results: In our study there were 85 (88,5%) benign and 11 (11,5%) malign tumors. All malignant tumors showed pain and swelling. In 57 of the benign lesions there was pain, and in 19 there was swelling accompanied by deformity. Radius malignant and beneficial tumors were frequently detected in the second and third near age intervals. The most common benign and malign tumors were giant cell tumors (n=29, 30.2 percent) and Ewing sarcoma (n=6, 6.2 percent). 56 of 85 benign lesions (65.8%) and 7 of 11 malign lesions (63.6%) were settled in distal radius. The MSTS scores were 27.6±1.72 and 24.5±1.77 for benign and malign lesions respectively. Three giant cell tumors and a Ewing sarcoma patient occurred in local nuts. Result: This study shows that curration is applicable and continues to be the first option for benign lesions of the radius. Although its anatomical characteristics are complex, extensive surgical resection and biological reconstruction in malignant tumors are possible with end protective surgery.

Anahtar Kelimeler:

Özet:

Aim: This study aimed to evaluate the incidence, surgical management, histologic and anatomic distribution of patients who operated in a tertiary orthopedic oncology center with diagnosing primary bone tumors of the radius. Material and Methods: A total of 96 patients ( 37 female, 59 male ) who presented to our department in the period of 17 years (2003-2020) with the diagnosis of bone tumors of radius were analyzed. The patients were assessed according to age, gender, complaints, tumor grade, localization, treatment method, recurrence, and functional outcomes. Results: There were 85 (88.5%) benign and 11 (11.5%) malign tumors. Pain and swelling were evident in all malign tumors. Of the benign lesions, 57 had pain, and 19 had swelling accompanied by deformity. The malign and benign tumors of the radius were also detected in the second and third decades. The most common benign and malignant tumors were giant cell tumors (n=29, 30.2%) and Ewing sarcoma (n=6, 6.2%). Fifty-six of 85 (65.8%) benign lesions and 7 of 11 (63.6%) malign lesions were located of the distal radius. The MSTS scores were 27.6±1.72 and 24.5±1.77 for benign and malign lesions, respectively. Local recurrence has occurred in three giant cell tumors and one Ewing sarcoma. Conclusion: This study represents that curettage remains the feasible and first choice for benign lesions of the radius. Although the anatomy of the forearm is complex, limb-sparing surgery is possible with biological reconstruction methods in malignant tumors.