大腿骨の転移性腫瘍に対する病巣掻爬とセメント充填による再建法

抄録

We reviewed the clinical significance of our surgical procedure for 10 patients with metastatic femoral cancers. Patient's ages ranged from 43 to 75 years with an average of 58 years, and their primary cancers included renal cell carcinoma, mammary carcinoma and others in 4, 3 and 3 patients, respectively. During the procedure, the intraosseous lesions were curetted thoroughly and packed with bone cement. Subsequently, the femurs were reinforced with long plates to prevent pathological fractures.
The majority of the 10 patients could walk within three weeks after surgery. Seven patients had no discomfort in the affected limbs for the mean follow-up term of 16 months. However, local recurrence appeared radiologically in 3 patients 7, 10 and 24 months after surgery, respectively. The present study disclosed that our procedure was useful for patients whose metastatic lesions extended minimally into the soft tissues.