原发性锁骨肿瘤和肿瘤样变的诊断与治疗  

Diagnosis and treatment of primary tumors and tumorous lesions of clavicle

作　　者：黎清波[1] 王欣[1] 龚平[1] 

机构地区：[1]武汉大学中南医院骨科,430071

出　　处：《临床外科杂志》2008年第11期774-775,共2页Journal of Clinical Surgery

摘　　要：目的探讨原发性锁骨肿瘤和肿瘤样变的诊断及治疗方法。方法回顾性研究11例原发性锁骨肿瘤和肿瘤样变的诊断和治疗方法。结果11例均经手术治疗,术后随访1～10年,复发2例,其中1例复发后行肩关节离断术,1例复发后多次化疗仍出现多处转移。结论原发性锁骨肿瘤和肿瘤样变临床少见,术前较难确诊,病史、X线、CT以及病理检查等综合分析有利于确诊。早期手术是最有效的治疗方法,可减少复发率。Objective To investigate the diagnosis and treatment of primary tumors and tumorous lesions of clavicle. Methods The diagnosis and treatment of 11 cases of primary tumors and tumorous lesions of clavicle were reviewed retrospectively. Results 11 patients had been followed up for one to ten years after accepting surgical treatment. Nine of the patients didnt recurrent except two. Of the two with recurrence one had disarticulation of shoulder after relapse and the other presented multiple transfer after several chemo - treatments. Conclusion Primary tumors and tumorous lesions of the clavicle are rare in clinical, which are difficult to make a final diagnosis preoperatively. Aggregate analysis of the ease history,radiography,CT and pathological examination is helpful to final diagnosis and proper treatment. Early operation is the most effective method which could reduce recurrence.

关 键 词：锁骨肿瘤 诊断 治疗 

分 类 号：R738.1[医药卫生—肿瘤]