Cargando…
Efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs
BACKGROUND: This study aims to evaluate the efficacy of limb salvage with primary tumor resection on patients with solitary bone metastasis. METHODS: A retrospective treatment outcome review was performed on 20 patients with solitary bone metastasis as the primary clinical symptom who were admitted...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743159/ https://www.ncbi.nlm.nih.gov/pubmed/26846931 http://dx.doi.org/10.1186/s12957-016-0786-8 |
_version_ | 1782414309169561600 |
---|---|
author | Cheng, Dong-dong Yang, Jie-lai Hu, Tu Yang, Qing-cheng |
author_facet | Cheng, Dong-dong Yang, Jie-lai Hu, Tu Yang, Qing-cheng |
author_sort | Cheng, Dong-dong |
collection | PubMed |
description | BACKGROUND: This study aims to evaluate the efficacy of limb salvage with primary tumor resection on patients with solitary bone metastasis. METHODS: A retrospective treatment outcome review was performed on 20 patients with solitary bone metastasis as the primary clinical symptom who were admitted to the hospital between 2006 and 2010. With primary tumor resection, 18/20 patients received limb salvage surgery simultaneously. Pain scoring was assessed using the 0 to 10 numerical rating scale. The quality of life scoring was performed before and 3 months after surgery using the SF-30 scoring system. In addition, limb function was assessed 3 months after the operation using the Scoring System of American Musculoskeletal Tumor Society system (MSTS). RESULTS: The pain symptom was significantly ameliorated after the operation (t = 26.653, P < 0.001), and the quality of life dramatically improved (t = −20.581, P < 0.001). The postoperative MSTS scores ranged from 18 to 27. The average score was 23.10 ± 2.36. The Kaplan-Meier analysis showed that no significant differences (χ2 = 1.589, P = 0.207) were observed in the tumor-free survival time between the wide and marginal resections. CONCLUSIONS: The application of the wide or marginal excision for the primary lesion and bony metastasis focus, based on the principles of primary bone tumors, can significantly relieve the pain and improve the quality of life and limb function of patients whose solitary bone metastasis was manifested as the first sign. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12957-016-0786-8) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4743159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47431592016-02-06 Efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs Cheng, Dong-dong Yang, Jie-lai Hu, Tu Yang, Qing-cheng World J Surg Oncol Research BACKGROUND: This study aims to evaluate the efficacy of limb salvage with primary tumor resection on patients with solitary bone metastasis. METHODS: A retrospective treatment outcome review was performed on 20 patients with solitary bone metastasis as the primary clinical symptom who were admitted to the hospital between 2006 and 2010. With primary tumor resection, 18/20 patients received limb salvage surgery simultaneously. Pain scoring was assessed using the 0 to 10 numerical rating scale. The quality of life scoring was performed before and 3 months after surgery using the SF-30 scoring system. In addition, limb function was assessed 3 months after the operation using the Scoring System of American Musculoskeletal Tumor Society system (MSTS). RESULTS: The pain symptom was significantly ameliorated after the operation (t = 26.653, P < 0.001), and the quality of life dramatically improved (t = −20.581, P < 0.001). The postoperative MSTS scores ranged from 18 to 27. The average score was 23.10 ± 2.36. The Kaplan-Meier analysis showed that no significant differences (χ2 = 1.589, P = 0.207) were observed in the tumor-free survival time between the wide and marginal resections. CONCLUSIONS: The application of the wide or marginal excision for the primary lesion and bony metastasis focus, based on the principles of primary bone tumors, can significantly relieve the pain and improve the quality of life and limb function of patients whose solitary bone metastasis was manifested as the first sign. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12957-016-0786-8) contains supplementary material, which is available to authorized users. BioMed Central 2016-02-04 /pmc/articles/PMC4743159/ /pubmed/26846931 http://dx.doi.org/10.1186/s12957-016-0786-8 Text en © Cheng et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Cheng, Dong-dong Yang, Jie-lai Hu, Tu Yang, Qing-cheng Efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs |
title | Efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs |
title_full | Efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs |
title_fullStr | Efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs |
title_full_unstemmed | Efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs |
title_short | Efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs |
title_sort | efficacy of limb salvage with primary tumor resection simultaneously for solitary bone metastasis in limbs |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743159/ https://www.ncbi.nlm.nih.gov/pubmed/26846931 http://dx.doi.org/10.1186/s12957-016-0786-8 |
work_keys_str_mv | AT chengdongdong efficacyoflimbsalvagewithprimarytumorresectionsimultaneouslyforsolitarybonemetastasisinlimbs AT yangjielai efficacyoflimbsalvagewithprimarytumorresectionsimultaneouslyforsolitarybonemetastasisinlimbs AT hutu efficacyoflimbsalvagewithprimarytumorresectionsimultaneouslyforsolitarybonemetastasisinlimbs AT yangqingcheng efficacyoflimbsalvagewithprimarytumorresectionsimultaneouslyforsolitarybonemetastasisinlimbs |