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骨肉腫의 統計學的 考察

Statistical Observation on Osteogenic Sarcoma

최신의학 1970년 13권 4호 p.57 ~ 62
구본희, 韓文植,
소속 상세정보
구본희 (  ) - 서울대학교 의과대학 정형외과학교실
韓文植 (  ) - 서울대학교 醫科大學 整形外科學敎室

Abstract


Statistical observation was Carried out on 27 cases of osteogenic sarcoma, which had been treated at the department of orthopedics, seoul national university hospital from Nov., 1957, up to Nov., 1968. The results were summarized as fallows;
1) Excluding metastatic cancer, osteogenic sarcoma was most freguently encountered malignant bone tumor, consisting of 28.7% (27 case) of the cases of primary bone tumors enconntered
2) The peak incidence was in the age group from 11 to 20 years in 13 cases (48.1%) one case was found in 52 years old male in whom ilium was in volved. The average age was 26.2 years.
3) The Sex distribution was 17 in males (62.9%) and 10 in females (37. 1%); male predominance wads observed
4) The histopathological stud´ies revealed osteoblastic type in 14 cases (29.6%) and chondrobloblastic type in 5cases. Osteoblastic type was predominated in incidence.
5) The most commonly affected sites were around the knees; that is the distal femur and proximal tibia were affected 17 cases (55.5%)
6) Among 27 cases of osteogeric sarcoma, 13 cases were treated conservatively, 10 had only biopsy; one had chemotherapeutic agent (the nitromin) ; one case had X-ray irradiation (5000r) one had biopsy plus X-ray irradiation. 14 cases were treated surgically; 6 cases had the above-knee amputation, 3 cases disarticulation; 2 cases hindquater amputatation; a case had biopsy plus block excision, 2 cases curretage.
7) Long term follow-up study could not be done successfully because of lack of cooperation of patients but many of them died of it shortly after surgery by widespread metastasis including lungs.

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