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X－ray Diagnosis Of Chondrosarcoma （Report Of 98 Cases）

杨海山  刘云霞  高忠礼  杨维明  姜鸿志  张永祥

Yang Hai－shan，Liu Yun－xia，Gao Zhong－li et a1．Third Teaching Hospital，Norman BethuneMedical University，Changchun 130021

Abstract：

　　98 cases of chondrosarcoma of bone were affected in femur（34），ilium，pubis，ischum，（15），tibia（11），humerus（10），ribs（7），sternum（6），scapular（5），sacrum（4），toes（2），ulna（1），fibula（1），maxilla（1），and finger（1）．Pain and Swelling Or both were the main clinical complaints．All cases were proved surgico－pathologically．The x－ray signs Of chondrosarcoma include：erosion of the bone，irregular margin and ill－defined between tumor and bone；soft tissue tumor mass may appear arund bone'variors patterns Of calcification within the tumor and localized periosteal reaction．The resutls indicated that x－ray can not only reveal the exact location and extent Of the tumor，permit an accurate preoperative diagnosis．The radiological malignant features Of chondroscarcoma and its diagnosis were dicsussed．All patients were followed up above 5 years．

　　Key words：Primary chondrosarcoma  Secondary chondrosarcoma  X－ray diagnosis

　　软骨肉瘤发病率仅次於骨肉瘤。我院经病理证实的有98例，现报道如下。

　　临床资料

　　性别与年龄；男性70例，女性28例。年龄12～82岁，20岁以下33例，21～30岁27例，31～40岁12例，41～50岁14例，51—60岁8例，61岁以上4例。以30岁以下多见，占61．2％。病程；40天～20年，1年以上者45例。病变部位：股骨34例，髂、耻、坐骨15例，，胫骨11例，肱骨10例，肋骨7例，胸骨6例，肩胛骨5例，骶骨4例，跖骨2例，指骨、尺骨、腓骨和上颌骨各1例。