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报告1973年10月至1991年3月本院共收治50例骨巨细胞瘤。其中恶性骨巨细胞瘤12例,占24%。骨巨细胞瘤采用抓刮植骨术复发率40%。文章讨论骨巨细胞瘤的诊断和治疗,尤其恶性骨巨细胞瘤,赞同McGrath将恶性骨巨细胞瘤分为三类:Ⅰ.原发性恶性骨巨细胞瘤。Ⅱ.发展性恶性骨巨细胞瘤。Ⅲ.继发性恶性骨巨细胞瘤。对发展性恶性骨巨细胞瘤更要提高警惕和重视,定期随访和注意恶性趋势。一旦有恶性表现立即果断地积极治疗,抓刮植骨手术治疗方法有高复发率,建议放弃这种方法治疗骨巨细胞瘤。
From October 1973 to March 1991, a total of 50 cases of giant cell tumor of bone were treated in this hospital. Among them, 12 cases of malignant giant cell tumors of bone (24%). The recurrence rate of giant bone cell tumors was 40%. The article discusses the diagnosis and treatment of giant cell tumors of the bone, especially malignant giant cell tumor of bone, and agrees with McGrath to classify malignant giant cell tumor of bone into three categories: I. Primary malignant giant cell tumor of bone. II. Developmental malignant giant cell tumor. III. Secondary malignant giant cell tumor of the bone. For the development of malignant giant cell tumor of the bone, we must increase vigilance and attention, regular follow-up and pay attention to malignant trends. Once aggressive treatment is immediately and decisively performed for malignant manifestations, surgical resection of scraped bone grafts has a high recurrence rate, and it is recommended to abandon this method for the treatment of giant cell tumor of bone.