1513例骨肿瘤及肿瘤样病变统计分析

 本文统计分析了骨肿瘤及肿瘤样病变1513例。其中良性骨肿瘤907例,占59.95%;恶性骨肿瘤450例,占29.74%;肿瘤样病变156例,占10.31%。三组病例都好发于11—40岁,男性较女性多见,为2。28:1。好发部位较多见于股骨、胫骨和肱骨,不同病变有不同的好发部位。良性骨肿瘤中以骨软骨瘤最多见,其次为骨巨细胞瘤。恶性骨肿瘤中以骨肉瘤最多见,其余依次为软骨肉瘤、转移癌、尤文氏瘤、骨髓瘤、骨纤维肉瘤、巨细胞瘤、脊索瘤、皮质旁骨肉瘤、网织细胞肉瘤。骨的肿瘤样病变包括嗜伊红性肉芽肿、骨纤维异常增殖症,弧立性骨囊肿和动脉瘤样骨囊肿。

ANALYSIS OF 1513 CASES OF TUMORS AND TUMORLIKE LESIONS OF BONE

A study of 1513 cases of tumors and tumorlike lesions of bone, including be nigh tumors 907 cases (59.95%), malignant tumors 450 eases(29.74%)and tumorlike lesions 156 cases (10.31%, the age-range of incidence was 11-40 years, male female(2.28: 1) Although the femur, tibia and humerus are the more frequent site of predileetion, the frequency of other skeletal involvement was quite different according to various types of bone tumors or tumorlike lesions. Among benign tumors, osteoehondroma is the most common, giant-cell tumor in the second. Among malignant tumors, the most common is ostoosarcoma, then follows the chondrosarcoma, metastatic carcinoma, Ewings sarcoma, myeloma, fibrosarcoma, malignant giant-cell tumor, chordoma, Juxtacortical osteogenic sarcoma, reticulum-cell sarcoma in declining order. Tumorlike lesions of bone include eosinophilic granuloma, fibrous dysplasia, solitary bone cyst and aneurysmal bone cyst.