Analysis of the clinical efficacy of tumor resection methods used in 20 patients with clavicular tumor

Autor:	Changwu Wei, Xinli Zhan, Xiao-Ting Luo, Yun Liu, Zengming Xiao, Xian-Ying Huang, Yin-Juan Lai, Wen-Yu Feng, Jian-Hong Liu, Xiao Zhang
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Adult Male Tumor of clavicle medicine.medical_specialty Adolescent Elbow Tumor resection lcsh:Surgery Bone Neoplasms lcsh:RC254-282 Resection Metastasis Young Adult 03 medical and health sciences 0302 clinical medicine Surgical oncology medicine Humans In patient Clinical efficacy Child Retrospective Studies business.industry Research lcsh:RD1-811 Middle Aged Prognosis medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Clavicle Surgery Survival Rate Plate-cement complex medicine.anatomical_structure Oncology Child Preschool 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Shoulder joint Neoplasm Recurrence Local Reconstruction business Follow-Up Studies Claviculectomy
Zdroj:	World Journal of Surgical Oncology, Vol 17, Iss 1, Pp 1-7 (2019) World Journal of Surgical Oncology
ISSN:	1477-7819
DOI:	10.1186/s12957-019-1642-4
Popis:	Background To retrospectively analyze the tumor resection method used in 20 patients with clavicular tumors and evaluate its clinical efficacy. Methods A total of 9 patients with clavicular benign tumors underwent intracapsular resection, and 11 patients with clavicular malignant tumors underwent tumor resection from May 2012 to May 2017. Of the 11 patients, 5 underwent clavicular reconstruction using the plate-cement complex. Surgical efficacy was assessed using the Musculoskeletal Tumor Society, Constant-Murley, and American Shoulder and Elbow Surgeons shoulder outcome scores preoperatively until 12 months postoperatively. Results The average duration of follow-up care was 33.7 (12–71) months. Of the 20 patients, 3 patients died, 3 survived with tumor recurrence or metastasis, and 14 survived with no tumor recurrence. Among the 5 patients who underwent resection of malignant clavicular tumors and reconstruction, 2 underwent a re-operation because of a loose screw and plate displacement. In the functional assessment of the shoulder joint, patients with benign and malignant clavicular tumors showed significantly higher scores postoperatively compared with preoperative scores. For malignant clavicular tumors, no significant improvement was observed when comparing the non-reconstruction and reconstruction groups. Conclusions Surgery is an optimal treatment for clavicular tumors. In patients with benign clavicular tumors, simple intracapsular resection can achieve a satisfactory prognosis. Reconstruction of a clavicular defect after resection of a clavicular malignant tumor is not recommended.
Databáze:	OpenAIRE
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