Abstract
This article presents the results of observation (maximum period 5 years) of 249 children with bone cysts and bone tumors, of these, 20,1% of children were diagnosed with aneurysmal cysts, 74,3% - of benign tumors and 5,6% - of malignant tumors. It was shown that a differentiated approach in the treatment of children with bone cysts and benign bone tumors, including conservative events and radical surgical tactics with the use of bioimpendance Tutoplast R and allografts, allows to obtain good and satisfactory results in 64,0% of the cases. However, the results of treatment of children with osteosarcoma at the present time remain unsatisfactory: the 5-year relapse-free survival was only 6 of 14 cases, recurrence of the disease in 5 cases, fatal in 8 cases. According to the authors, to im prove the results of treatment in this group of patients, it is necessary to improve cancer alertness of general practitioners and the use of combined modern treatment programs at specialized medical institutions in all these patients.
Highlights
This article presents the results of observation of 249 children with bone cysts and bone tumors, of these, 20,1% of children were diagnosed with aneurysmal cysts, 74,3% – of benign tumors and 5,6% – of malignant tumors
It was shown that a differentiated approach in the treatment of children with bone cysts and benign bone tumors, including conservative events and radical surgical tactics with the use of bioimpendance «Tutoplast R» and allografts, allows to obtain good and satisfactory results in 64,0% of the cases
Осложнения хирургического лечения кист костей у детей // Хирургия детского возраста
Summary
THE RESULTS OF TREATMENT OF BONE CYSTS AND BONE TUMORS IN CHILDREN До настоящего времени актуальной проблемой остается диагностика и лечение костных кист и опухолей у детей. Существуют определенные трудности в диагностике и лечении костных кист и доброкачественных опухолей костей у детей. Результаты лечения детей с остеогенной саркомой, несмотря на ампутации и экзартикуляции, до настоящего времени находятся на недостаточно высоком уровне [1, 9-13].
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