Acta Oncol Tur.. 2018; 51(2): 166-170 | DOI: 10.5505/aot.2018.30633

Distribution and Evaluation of Shoulder Girdle localized Malignant Musculoskeletal Tumors

Recep Öztürk¹, Þefik Murat Arýkan², Güray Toðral², Bedii Þafak Güngör^2
1Polatlý Public Hospital, Department Of Orthopedics And Traumatology, Ankara
²Ankara Oncology Training And Research Hospital, Department Of Orthopedics And Traumatology, Ankara

INTRODUCTION: We aimed to retrospectively examine diagnostic distribution of the patients treated with diagnosis of shoulder girdle localized malignant musculoskeletal system in our clinic.
METHODS: A total of 187 patients followed-up and treated shoulder girdle malignant tumor between January 2001 and August 2016 were retrospectively investigated. Patients were evaluated in terms of age, gender, localization, histopathological diagnosis and characteristics.
RESULTS: Out of 187 patients 79 were female (42.3%) and 108 were male (57.7%). The mean age of patients at the time of surgery was 47.9 (2-87) years. Of the patients 95 had primary tumor, 10 relaps and 82 metastasis. The most common tumor localization was proximal humerus (108 cases; 57%). Among the primary tumors, the most common diagnosis was Ewing’s sarcoma (21 cases, 22%). The most common metastatic tumor was lung cancer metastasis (19 cases, 23%). The mean tumor size in the 187 patients included was 10.0 cm (3-78 cm).
DISCUSSION AND CONCLUSION: Early diagnosis is vital in malignant tumors. Knowledge of characteristics such as localization specific age, gender, bone-soft tissue involvement and incidence in medical history and physical examination is helpful in the diagnosis.

Keywords: Shoulder girdle, Scapula, Proximal Humerus, Allograft, Extremity Protection, amputation, malignant, prognosis

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Omuz Kuþaðý Yerleþimli Malign Kas Ýskelet Sistemi Tümörlerin Daðýlýmý Ve Deðerlendirilmesi

Recep Öztürk¹, Þefik Murat Arýkan², Güray Toðral², Bedii Þafak Güngör^2
1Polatlý Devlet Hastanesi, Ortopedi Ve Travmatoloji Kliniði, Ankara
²Ankara Onkoloji Hastanesi, Ortopedi Ve Travmatoloji Kliniði, Ankara

GÝRÝÞ ve AMAÇ: Kliniðimizde omuz kuþaðý yerleþimli malign kas iskelet sistemi tümörü tanýsý ile tedavi edilen olgularýn tanýsal daðýlýmý ve retrospektif incelenmesi amaçlandý
YÖNTEM ve GEREÇLER: Ocak 2001 ile aðustos 2016 yýllarý arasýnda omuz çevresi malign tümörü tanýsý ile takip ve tedavi edilen 187 vaka retrospektif olarak incelendi.Olgular yaþ, cinsiyet, lokalizasyon, histopatolojik taný ve özellikleri açýsýndan deðerlendirildi.
BULGULAR: 187 hastanýn 79' u kadýn (% 42.3), 108' i erkek (%57.7) idi. Hastalarýn cerrahi zamanýndaki yaþ ortalamasý 47.9 ( 2 - 87 yaþ arasý) idi. Hastalarýn 95’i primer tümör, 10’u nüks, 82’si metastaz idi. En sýk tumor yerleþim yeri proksimal humerus idi(108 vaka, %57). Primer tümörler içerisinde en sýk taný ewing’s sarkom idi(21 vaka, %22). Metastatik tümörler içerisinde en sýk görüleni akciðer kanseri metastazý(19 vaka, %23) idi. Ýncelemeye alýnan 187 hastanýn, ortalama tümör boyutu 10.0 cm (3- 78 cm arasý) idi.
TARTIÞMA ve SONUÇ: Malign tümörlerde erken taný hayati öneme sahiptir. Öykü ve fizik muayenede, lokalizasyona özel yaþ, cinsiyet, kemik-yumuþak doku tutulumu, insidans gibi özelliklerin bilinmesi tanýda önemli bir yardýmcýdýr.

Anahtar Kelimeler: Omuz kuþaðý, Skapula, Proksimal Humerus, Allogreft, Ekstremite Koruma, ampütasyon, malign, prognoz

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