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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2022; 63(01): e33-e39
DOI: 10.1055/s-0042-1745833
Artículo Original | Original Article

Índice de recurrencia de tumor de células gigantes con curetaje y cementación

Article in several languages: español | English
José Humberto Rodríguez-Franco 
1   Traumatología Pediátrica, UMAE Dr. Victorio de la Fuente Narváez, Ciudad de México, México
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Resumen

Objetivo Identificar la tasa de recurrencia de tumor de células gigantes (TCG) en pacientes tratados con curetaje y cementación con seguimiento mínimo de tres años.

Material y métodos Cohorte retrospectiva y observacional de pacientes con diagnóstico de TCG en estadios 1 y 2 de Enneking tratados con curetaje intralesional y cementación entre 1981 y 2011. Se registraron edad, sexo, región anatómica, y tiempo de recurrencia. Se utilizó estadística descriptiva con medidas de tendencia central y medidas de dispersión (desviación estándar) para variables cuantitativas, y porcentajes para variables cualitativas.

Resultados Entre 1981 y 2011, se identificaron 375 casos de TCG, de los cuales 141 (37,6%) fueron tratados con este método. El seguimiento fue de 48 a 240 meses, y la edad, de 27 ± 9 años; 45% de los pacientes eran mujeres, y 55%, varones, con una relación mujer:hombre de 1,2:1. El hueso más afectado fue la tibia (38%), seguida del fémur (32%), del húmero (16%), y del radio (10%). En 88,6%, la resección fue curetaje intralesional, y el resto, marginal. Hubo 15,7% de casos de TCG con fractura, y recidiva en 12,7%.

Discusión Se ha demostrado que este método de tratamiento reduce el riesgo de recurrencia por los efectos adyuvantes locales de la cementación acrílica. La recurrencia ocurre en los dos primeros años de seguimiento. Sin embargo, hay autores que respaldan que el margen quirúrgico es el único factor que influencia el riesgo de recurrencia local. La extensión extraósea del TCG no es contraindicación para curetaje intralesional y adyuvante con metilmetacrilato.

Conclusiones Reportamos tasa una de recurrencia similar a la de la literatura, siendo un recurso factible de reconstrucción de miembros.

Palabras Clave

tumor de células gigantes - tratamiento - resección - polimetilmetacrilato


Publication History

Received: 10 March 2021

Accepted: 19 August 2021

Article published online:
20 May 2022

© 2022. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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