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Chondroblastoma in the long bone diaphysis: a report of two cases with literature review  [cached]
Jilong Yang,Wei Tian,Xiongzeng Zhu,Jian Wang
Chinese Journal of Cancer , 2012, DOI: 10.5732/cjc.011.10402
Abstract: To investigate the clinical characteristics of chondroblastoma with an emphasis on lesions located in the long bone diaphysis, we reviewed the clinical data of 7 patients with histologically proven chondroblastoma treated in Tianjin Medical University Cancer Hospital and Fudan University Cancer Hospital between January 1995 and May 2009. There were two rare cases of chondroblastoma in the long bone diaphysis. One patient with a lesion in the tibial diaphysis underwent intralesional curettage and bone grafting, and the postoperative bone function was measured as excellent according to the Enneking scoring system. The patient was still alive upon follow-up at 60 months. The other patient with a lesion in the humeral diaphysis underwent resection, and the postoperative bone function was excellent at 48 months, at which there was no evidence of recurrence or metastasis. Thus, except for the distinctive site of the long bone diaphysis, which made diagnosis difficult, the patients' ages, symptoms, X-ray and CT images, treatment, and prognosis were in accordance with typical lesions in the epiphysis and metaphysis. The diagnosis of chondroblastoma in the long bone diaphysis significantly depends on histopathologic characteristics.
Chondroblastoma of the sphenoid bone  [cached]
Patrocíni, Tomas Gomes,Patrocínio, Lucas Gomes,Castro, Samuel Caputo de,Souza, Antonio Diniz
International Archives of Otorhinolaryngology , 2008,
Abstract: Introduction: Chondroblastoma is an uncommon cartilaginous benign neoplasm, highly destructive, which specifically appears in the epiphysis of long bones in young patients. Its occurrence is extremely rare in the cranial base, normally occurring in the temporal bone. Objective: To describe a rare case in a patient presenting with a sphenoid bone chondroblastoma that invaded the middle cranial cavity, submitted to a successful surgical resection, without recurrence after 2 years. Case Report: W.J.S, 37 years old, male, forwarded to the otorhinolaryngology service with persistent and strong otalgia for 3 months. He had normal otoscopy and without visible tumorations. The computerized tomography confirmed tumor mass in the left infra-temporal cavity, invading the middle cranial cavity. The biopsy suggested giant cells tumor. After wide resection by frontal approach via orbitozygomatic osteotomy. During the surgery, we confirmed tomographic statements and didn't find temporal bone involvement. The histopathological exam confirmed chondroblastoma. After 18 months after the surgery, he doesn't present with complaints, without motor, sensitive deficits or of cranial nerves and without recurrence tomographic signals. Conclusion: The importance of differential diagnosis of chondroblastoma is remarkable in the cranial base lesions and its therapeutic approach, whose objective must always be the major possible resection with the maximum function conservation.
Chondroblastoma of the cuboid with an associated aneurysmal bone cyst: a case report
Yasir Sepah, Masood Umer, Khurram Minhas, Kamran Hafeez
Journal of Medical Case Reports , 2007, DOI: 10.1186/1752-1947-1-135
Abstract: Chondroblastoma is a rare benign cartilaginous neoplasm that accounts for approximately 1% of all bone tumors and characteristically arises in the epiphysis of a long bone, particularly the humerus, tibia, and femur. Chondroblastoma can affect people of all ages. It is, however, most common in children and young adults between the ages of 10 and 20 years. Association of chondroblastoma with aneurysmal bone cyst is well documented however this association has only once been reported in the cuboid.Imaging techniques should be supplemented with an open biopsy for the final diagnosis. Management with curettage, use of high speed burr and bone grafting has shown very good outcomes.Chondroblastoma is a rare benign cartilaginous neoplasm that accounts for approximately 1 % of all bone tumors and characteristically arises in the epiphysis of a long bone, particularly the humerus, tibia, and femur [1]. Occasionally it can follow a more aggressive course invading the joint spaces, adjacent bones and rarely resulting in metastases[2]. In 1931, Codman classified it as a chondromatous variant of giant cell tumors when he described these lesions in the proximal humerus [3]. A decade later, Jaffe and Lichtenstein renamed it as chondroblastoma and clearly separated it from giant cell tumor [4].Chondroblastoma can affect people of all ages. It is, however, most common in children and young adults between the ages of 10 and 20 years [5]. It is also more common in males than females [5]. Patients usually present with pain and swelling, particularly if a pathological fracture is present [5]. Association of chondroblastoma with aneurysmal bone cyst is well documented however in the cuboid this association has only once been reported. We report the case of a young adult who presented with a painful foot due to chondroblastoma associated with an aneurismal bone cyst.An 18 year old female presented to the clinic with a 4 month history of pain and swelling in the right foot. The patient had
Results of Curettage and High-speed Burring for Chondroblastoma of the Bone  [PDF]
Chia-Chen Hsu,Jun-Wen Wang,Chin-En Chen,Jui-Wei Lin
Chang Gung Medical Journal , 2003,
Abstract: Background: Chondroblastomas of the bone are rare lesions. Most of these lesions can besuccessfully treated by curettage and bone grafting. However, a considerablerate of recurrence has been reported, especially in aggressive lesions. Thepurpose of this study was to report the results of 10 cases of chondroblastomasof the bone treated with curettage and high-speed burring.Methods: Ten patients with histologically confirmed chondroblastoma of the bonewere treated with curettage and high-speed burring between October 1991and August 2000. There were 7 men and 3 women with an average age of18.9 (range, 12 to 30) years. Radiographically, 3 were classified as havingaggressive lesions, and 7 were classified as having non-aggressive ones. Fortreatment, 8 of them had defects packed with either bone grafts or bone substitutes;1 defect was packed with bone cement; and the other was left alonebecause the lesion was small.Results: At an average follow-up period of 62 (range, 8 to 112) months, all patientshad painless, normal function of the affected limb without local recurrence ordistant metastasis. Complete healing of the lesion was seen in 8 patientsincluding the one without a bone graft. The lesion in 1 patient who hadreceived bone cement remained unchanged radiographically. One patientexperienced incomplete healing of the lesion, which was caused by inadequatepacking of the bone substitute.Conclusion: Curettage and high-speed burring represent an effective method for the treatmentof chondroblastoma of the bone whether in the non-aggressive oraggressive stage.
Skull base chondroblastoma : a case report.  [cached]
Moorthy R,Daniel R,Rajshekhar V,Chacko G
Neurology India , 2002,
Abstract: Chondroblastoma is a rare tumor of the skull. Temporal bone is the commonest site of involvement in the skull. We present a thirty one year old man who presented with painless swelling over the left temporal bone, which was near totally excised after preoperative embolization. Management of this unusual tumor and its complications are discussed.
Bone and soft tissue tumours of the foot: review of 83 cases.  [cached]
Kinoshita G,Matsumoto M,Maruoka T,Shiraki T
Journal of Orthopaedic Surgery , 2002,
Abstract: PURPOSE: To review cases of bone and soft tissue tumours of the feet managed at the Hyogo College of Medicine, Nishinomiya and Takarazuka Municipal Hospital, Takarazuka, Japan. METHODS: Retrospective analysis of 83 patient records treated for bone and soft tissue tumours of the feet between 1974 and 2000. RESULTS: There were 33 benign bone tumours, one primary malignant bone tumour, and 2 metastatic bone cancer. Marginal resection was performed in cases of osteochondroma and curettage in cases of other benign bone tumour. Despite below-knee amputation in the case of chondrosarcoma, the patient died because of pulmonary metastasis. Two patients with metastatic cancer also died, and 2 cases of osteochondroma and one of benign chondroblastoma recurred. There were 47 cases of soft tissue tumour. Treatment for benign soft tissue tumours was marginal resection; no cases recurred. In contrast, all patients with soft tissue sarcoma died after surgery. The majority of bone tumours were located in the toe and hindfoot areas, in the first and second decades of life, whereas soft tissue tumours occurred mainly in the midfoot area and in patients aged between 20 and 50 years. The sex distribution was almost even for bone tumours (male: female ratio, 19:17), whereas about half as many males as females had soft tissue tumours (14:33). CONCLUSION: Bone and soft tissue tumours of the feet are uncommon. Most bone tumours are chondrogenic, but differential diagnosis of malignant from benign disease is difficult and prognosis is poor. Management of benign tumours by marginal resection has good prognosis, whereas prognosis of soft tissue sarcomas is very poor.
Retrospective analysis for thirty-nine patients with solitary fibrous tumor of pleura and review of the literature
Wei Guo, Hua-Liang Xiao, Yao-Guang Jiang, Ru-Wen Wang, Yun-Ping Zhao, Zheng Ma, Hui-Jun Niu
World Journal of Surgical Oncology , 2011, DOI: 10.1186/1477-7819-9-134
Abstract: From January 2004 to December 2008, 39 patients underwent surgical resection of SFTP in our department. All patients had clinical follow-up by the same team of surgeons. The mean follow-up was 40.3 months.A local removal of the neoplasm was accomplished by video-assisted thoracic surgery (VATS) in 9 patients (group A) and by thoracotomy in 30 patients (group B) respectively. Comparing with group B, operations in group A took significantly less operative time, blood loss and spent less time in the intensive care unit and hospital. All specimens were positive for CD34 and Bcl-2. One patient developed recurrence, and the remaining 38 patients are alive and disease free at the end of follow-up.Malignant SFTP still had the potential recurrence. VATS represents the more acceptable choice for the selected patients with SFTP.As a rare primary neoplasm arising from mesenchymal cells in the areolar tissue subjacent to the mesothelial-lined pleura, the solitary fibrous tumor of the pleura (SFTP) was first mentioned by Wagner in 1870 [1], and the pathologic description did not appear until 1931 [2]. Due to the rarity of SFTP, there were only fewer than 800 cases reported before 2002 [3], and the understanding of this disease still remains unclear. Moreover, controversy about the origin of this uncommon tumor led to a variety of terms applied to the tumor in earlier years, such as localized pleural mesothelioma, pleural fibroma, localized fibrous mesothelioma, submesothelial fibroma, and localized fibrous tumor [3].SFTP is a mesenchymal tumor that tends to involve the pleura, although it has also been described in other thoracic areas (mediastinum, pericardium and pulmonary parenchyma) and in extrathoracic sites (meninges, epiglottis, salivary glands, thyroid, kidneys and breast) [3,4]. SFTP usually presents as a peripheral mass abutting the pleural surface, to which it is attached by a broad base or, more frequently, by a pedicle that allows it to be mobile within the pleural c
Physical therapy resources in prevention of bone mineral density loss in patients with spinal cord injury – literature review
Daniele Rodrigues,Guilherme Herrera
Einstein (S?o Paulo) , 2004,
Abstract: This paper comprises a literature review on physical therapytreatment on prevention, stabilization or slowing down the processof bone mineral density loss in patients with spinal cord injury.There are few studies in the literature on the efficiency of physicaltherapy treatment for bone demineralization. There are reports offour types of treatment for demineralization: functional electricalstimulation, functional electrical stimulation-induced cycling,standing and ambulation. These treatments are rather questionableand controversial in relation to efficacy and there is no consensuson their methodologies.
Communication as a therapeutic instrument for patients submitted to bone marrow transplantation: a review
Ariane Freitas Cardoso,Renata Cristina de Campos Pereira Silveira,Emília Campos de Carvalho
Online Brazilian Journal of Nursing , 2008,
Abstract: Bone marrow transplantation (BMT) causes psychological effects in patients, especially in terms of autonomy and coping with the situation; therapeutic communication can help patients to recover these. This integrative literature review aims to identify evidence of using communication interventions in patients submitted to BMT. The terms communication and BMT were used to select articles from the following databases:MEDLINE/PubMed, Cinahl and Lilacs. Nine articles were analyzed, distributed between 1991 and 2006, 44% of which came from the United States and 55% were quantitative studies. The results showed the importance of communication among health professionals and patients as a contributing factor to increase commitment in treatment, to facilitate the understanding of the processes involved and to identify their needs, so as to humanize care and formulate strategies to decrease or even put an end to undesirable moment
Communication as a therapeutic instrument for patients submitted to bone marrow transplantation: a review  [cached]
Ariane Freitas Cardoso,Renata Cristina de Campos Pereira Silveira,Emília Campos de Carvalho
Online Brazilian Journal of Nursing , 2008,
Abstract: Bone marrow transplantation (BMT) causes psychological effects in patients, especially in terms of autonomy and coping with the situation; therapeutic communication can help patients to recover these. This integrative literature review aims to identify evidence of using communication interventions in patients submitted to BMT. The terms communication and BMT were used to select articles from the following databases:MEDLINE/PubMed, Cinahl and Lilacs. Nine articles were analyzed, distributed between 1991 and 2006, 44% of which came from the United States and 55% were quantitative studies. The results showed the importance of communication among health professionals and patients as a contributing factor to increase commitment in treatment, to facilitate the understanding of the processes involved and to identify their needs, so as to humanize care and formulate strategies to decrease or even put an end to undesirable moments.
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