足踝部骨与关节肿瘤及瘤样病变103例分析

目的研究足踝部骨与关节肿瘤及瘤样病变的发病规律。方法总结20年来齐鲁医院经病理确诊的足踩郜骨肿瘤及瘤样病变103例，结合文献分析。结果最高发病年龄集中于10～39岁组之间，男性多于女性，其比例为1．45：1。病变多何于跗骨，跖骨，趾骨。良性肿瘤及瘤样病变明显多十恶性肿瘤，其比例为6．38：1。良性肿爝67例，其中骨软骨瘤、软骨瘤最多见（占良件肿瘤的55．22％）；瘤样病变16例中，骨囊肿9例，最多见（占56125％）：恶性肿瘤13例，以滑膜肉瘤和软骨肉瘤最多见（分别有5例及3例）。结论足踩部骨肿瘤与瘤样病变良性多于恶性，病变多位于跗骨与跖骨。对足部恶性肿瘤的诊断应重视。

Analysis of 103 Cases of Tumors and Tumor-like Lesions of Bone and Joint in the Foot and Ankle

Objective To research the incidence of tumors and tumor-like lesions of bone and joint in the foot and ankle. Method A study was done on 103 cases of tumors and tumor-like lesions in the foot which were confirmed by pathological examinations in the last 20 years, combining with an analysis of references. Results In 103 cases, most occurred in the age range of l0~39 years, the ratio of male and female was 1.45:1, and the most common sites were located in tarsus, metatarsus and digits. The benign tumor and tumor-like lesions were much more common than malignant tumor, the ratio was 6.38:1. There were 67 cases of the benign tumor including 37 cases of osteochondroma and chondroma, and 16 cases of the tumor-like lesions, in which there were 9 cases of bone cyst. Malignant tumors were 13 cases, including synovial sarcoma 5 cases and chondrosarcoma 3 cases. Conclusion The benign tumors and tumor-like lesions were more com-mon than malignant tumors. The localization in tarsus and metatarsus was more common than in other bones of foot. We must emphasize the diagnosis of malignant tumors.