Cryosurgery in the treatment of giant cell tumor. A long-term followup study.
作者： Martin M. Malawer , Jacob Bickels , Isaac Meller , Richard G. Buch , Robert M. Henshaw
DOI: 10.1097/00003086-199902000-00019
关键词: Cryotherapy 、 Cryosurgery 、 Long term followup 、 Medicine 、 Giant Cell Tumors 、 Giant cell 、 Giant-cell tumor of bone 、 Curettage 、 Surgery 、 Resection
摘要: Between 1983 and 1993, 102 patients with giant cell tumor of bone were treated at three institutions. Sixteen (15.9%) presented already having had local recurrence. All thorough curettage the tumor, burr drilling inner walls, cryotherapy by direct pour technique using liquid nitrogen. The average followup was 6.5 years (range, 4-15 years). rate recurrence in 86 primarily cryosurgery 2.3% (two patients), overall 7.9% (eight patients). Six these cured two underwent resection. Overall, 100 cryosurgery. Complications associated included six (5.9%) pathologic fractures, (2.9%) cases partial skin necrosis, (1.9%) significant degenerative changes. Overall function good to excellent 94 (92.2%), moderate seven (6.9%), poor one patient (0.9%). Cryosurgery has advantages joint preservation, functional outcome, low when compared other preservation procedures. For reasons, it is recommended as an adjuvant for most tumors bone.
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