Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2013 Vol. 21 No 2

PRACTICAL CASES

DOI: http://dx.doi.org/10.18484/2305-0047.2013.2.105   |  

.. SHLYAKHTUNOV1, N.G. LUD1 , I.I. FEDORENKO2 , O.N. VALSHONOK2

OSTEOBLASTOCLASTOMA OF THE THIRD CARPAL BONE IN THE PATIENT WITH THE SECONDARY LYMPHEDEMA OF THE UPPER LIMB

EE "Vitebsk State Medical University ¹",
ME "Vitebsk Regional Clinical Oncology Center ²"
The Republic of Belarus

A clinical case of osteoblastoclastoma treatment of the third carpal bone of the left hand in the patient undergone a special treatment of breast cancer is presented in the article. The tumor of the hand undetected for a long period caused by the developed secondary lymphedema of the upper limb on the side of the operative intervention is considered as the peculiarity of this case. The patient has undergone the surgical treatment of osteoblastoclastoma of the third carpal bone. Tumor scraping and defect plastic replacement with a bone transplant from the eminence of the tibial bone were performed. One year after operation at the radiological control the complete accretion of bone transplants and integrity of locked plates were registered. Three years afterwards no signs of the tumor recurrence were found out. The treatment method of bone benign tumors including scraping and defect replacement by an autotransplants is considered as one of the optimal treatment ones of benign tumors of hand short tubular bones. The most acceptable donor zone for the bone transplant intake is considered to be an eminence of the tibial bone as an optimal combination of the cortical and cancellous bone substance occurs in this site, providing a complete restoration of the post-resection defect of short tubular mesopodial bones of the hand and phalanxes of fingers.

Keywords: osteoblastoclastoma, breast cancer, lymphedemas
p. 105 110 of the original issue
References
  1. Usol'tseva EV, Mashkara KI. Khirurgiia zabolevanii i povrezhdenii kisti [Hand injuries and surgery]. 2-e izd pererab i dop. Leningrad, RF: Meditsina; 1978. 336 p.
  2. Biscaglia R, Bacchini P, Bertoni F. Giant cell tumor of the bones of the hand and foot. Cancer. 2000;88(9):202232.
  3. OBrien B, Shatiraff B. Microlymphaticovenous and resectional surgery in obstructive lymphedema. Wld J Surg. 1979;3(1):315.
  4. Algoritmy diagnostiki i lecheniia bol'nykh zlokachestvennymi novoobrazovaniiami [Algorithms for diagnosis and treatment of cancer patients ]. Zalutskogo IV, Zhavrida EA, red. Minsk, RB; 2007. 509 p.
  5. Fradkin SZ, Zalutskii IV, red. Klinicheskaia onkologiia: spravoch posobie [Clinical oncology: a reference guide ]. Minsk, RB; 2003. 784 p.
  6. Mikhailov MK, Volodina GI, Lariukova EK. Differentsial'naia rentgenodiagnostika zabolevanii kostei i sustavov: ucheb posobie [-ray differential diagnosis of bone and joint diseases: a tutorial]. Kazan, RF: Kazan gos in-t usovershenstvovaniia vrachei im VI Lenina; 1985. 66 p.
  7. Kuftyrev LM, Borzunov DIu, Zlobin AV, Mitrofanov AI. Autoplastika postrezektsionnykh defektov trubchatykh kostei kisti pri lechenii dobrokachestvennykh opukholei i opukholepodobnykh zabolevanii s ispol'zovaniem chreskostnogo osteosinteza [Autoplasty of post-resection defects of hand long bones in the treatment of benign tumors and tumor-like diseases using transosseous osteosynthesis]. Genii Ortopedii. 2004;(2):2025.
  8. Deikalo VP, Tolstik AN. Khirurgiia kisti: istoriia, sovremennye dostizheniia, problemy i perspektivy razvitiia [Hand surgery: history, current achievements, problems and prospects of development]. Novosti Khirurgii. 2006; 14(4):2636.
  9. Athanasian EA, Wold LE, Amadio PC. Giant cell tumors of the bones of the hand. J Hand Surg Am. 1997;22(4):9198.
  10. Patradul A, Kitidumrongsook P, Parkpian V, Ngarmukos C. Allograft replacement in giant cell tumour of the hand. Hand Surg. 2001;6(1):5965.
Address for correspondence:
210023, Respublika Belarus', g. Vitebsk, pr-t Frunze, d. 27, UO Vitebskii gosudarstvennyi ordena meditsinskii universitet, kafedra onkologii s kursami LD, LT, FPK i PK,
e-mail: Evgenij-shlyakhtunov@yandex.ru,
Shliakhtunov Evgenii Aleksandrovich
Information about the authors:
Shlyakhtunov E.A. PhD, an assistant of oncology chair of EE Vitebsk State Medical University. Lud N.G. MD, professor, a head of oncology chair of EE Vitebsk State Medical University. Fedorenko I.I. A head of the general oncology department of ME Vitebsk regional clinical onological dispensary. Valshonok O.N. A head of the radiological unit of ME Vitebsk regional clinical ontological dispensary.
Contacts | ©Vitebsk State Medical University, 2007