Sunday, June 22, 2008
Children need surgery osteochondroma
In the out-patient often encounter such cases, the child's parents occasionally found around joints or bone mass is the main reference Tuitong children and revealed mass, the doctors diagnosed as osteochondroma, many parents at a loss, To the children added a psychological burden. Since it is a tumor resection surgery should not » When surgery » In fact, osteochondroma among children and youth of the common tumor, parents need not panic. Let us look at the osteochondroma What are the characteristics » Osteochondroma of the largest found in the metaphyseal bone, especially around the knee and proximal humerus. Found near the mass in the joints, often there longer period of time, no symptoms. Mass with some of the pain, is often due to mass protruding parts of repeated injuries, local muscle and blood vessels caused by compression of the beam. Osteochondroma performance for the bone surface processes, covering a cartilage cap, the cap of transparent cartilage into bone, cartilage, tumors growing. The single osteochondroma no clear genetic laws, and many of the osteochondroma with autosomal dominant inheritance. With the tendency of parents and their children, about half can produce multiple osteochondroma. This hereditary multiple bone cartilage in patients with more than 30 years of age are likely to increase after the secondary chondrosarcoma of the possibility of secondary bone and cartilage in childhood sarcoma is very rare. The cancer diagnosis is not difficult, in addition to clinical examination, with more than X-ray can make a diagnosis, but also with the children's growth and development of common variation or other abnormal bone of identification. Osteochondroma can continue to grow until the bone development and maturation, but this does not mean that the malignant transformation. In children, osteochondroma in very rare cases of malignant, in adults, and also rare malignant transformation. Asymptomatic osteochondroma does not require the removal. Only adapt to the surgical resection of the tumor caused pain, squeezing the tumor vessels and nerves or affect the joint activities. Sometimes, young people osteochondroma patients may feel Bumei Guan, requested removal, tumors more difficult to accept than the scar. However, there are two issues need surgery our attention: First, surgery may hurt the growth plate, the impact of physical growth and development, the first tumor recurrence after easily. It is reported that growth in the scapula, pelvis and the femur of the osteochondroma, particularly after the removal of the recurrence of osteochondroma more prone to malignant transformation. Therefore, in addition to the attention of doctors in the technical operation of the complete tumor resection, relapse prevention, removal osteochondroma of age should also try to delay and reduce the growth plate injury risk.
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