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目的探究足部骨肿瘤流行病学特点。方法回顾1957年8月至2014年7月,北京积水潭医院骨肿瘤科诊治的258例足部骨肿瘤患者资料,分析其性别、年龄、病理诊断、发病部位及影像特点。结果男174例,女84例,年龄7~76岁,平均27.9岁。病变多位于跟骨、趾骨、距骨、跖骨,少见于足舟骨、楔骨和骰骨。恶性骨肿瘤38例,包括软骨肉瘤13例、骨肉瘤8例、Ewing肉瘤6例、转移性肿瘤5例;中间型肿瘤81例,包括软骨母细胞瘤36例、骨巨细胞瘤29例、动脉瘤样骨囊肿10例、软骨粘液样纤维瘤3例;良性肿瘤139例,包括内生软骨瘤37例、甲下外生性骨疣27例、单纯性骨囊肿26例、骨软骨瘤19例、骨样骨瘤12例、骨脂肪瘤10例。结论足部骨肿瘤好发于中青年男性,多为良性或中间型。
Objective To explore the epidemiological characteristics of foot bone tumors. Methods From August 1957 to July 2014, 258 patients with bone tumors from the Department of Bone Oncology in Jishuitan Hospital of Beijing from August 1957 to July 2014 were retrospectively analyzed. Their gender, age, pathological diagnosis, location and imaging features were analyzed. Results 174 cases of male and female 84 cases, aged 7 to 76 years, mean 27.9 years. More lesions in the calcaneus, phalanges, talus, metatarsal, rare in the scaphoid, cuneiform and cuboid bone. 38 cases of malignant bone tumors, including 13 cases of chondrosarcoma, 8 cases of osteosarcoma, Ewing sarcoma in 6 cases, 5 cases of metastatic tumors; 81 cases of intermediate tumors, including chondroblastoma in 36 cases, bone giant cell tumor in 29 cases, arteries 10 cases of tumorous cysts and 3 cases of cartilage myxoid fibroma. There were 139 cases of benign tumors, including 37 cases of endochondritis, 27 cases of inferior extremity undercrop, 26 cases of simple cyst, 19 cases of osteochondroma, Osteoid osteoma in 12 cases, 10 cases of lipoma. Conclusion Foot bone tumors occur in young men, mostly benign or intermediate.