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April 24, 2026Orthopedics & Traumatology0 citationsOpen Access

小児軟部腫瘍の治療経験

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公伊公一郎 伊原龍栗龍太郎 栗山道篠道雄 篠原

Key Points

  • To investigate the characteristics and outcomes of pediatric soft tissue tumors treated at our institution.
  • Reviewed medical records of 23 pediatric patients under 15 years old who underwent surgery for soft tissue tumors since 2009.
  • Analyzed age, tumor location, and tumor types based on records.
  • Reported on imaging studies, particularly MRI, conducted on the cases.
  • Patients included 11 boys and 12 girls, with ages ranging from 2 to 15 years, average age being 10.5 years.
  • Predominantly benign tumors were found, including ganglia and skin cysts, with no malignant tumors detected.
  • Tumors varied in size from 2 to 90 mm, with an average size of 22 mm; 21 cases underwent MRI, and there was one recurrence after six years.

Abstract

【目的】小児軟部腫瘍は組織型が多岐にわたり診断,治療に苦慮することも少なくない.今回当院で経験した小児軟部腫瘍について検討したので報告する.【対象・方法】2009年以降手術を行った軟部腫瘍のうち手術時年齢が15歳以下の23例を診療録から抽出し年齢,発生部位,腫瘍の種類などについて検討した.【結果】性別は男児11例,女児12例,年齢は2~15歳,平均10.5歳であった.発生部位は四肢21例,体幹2例で四肢では遠位部に多かった.腫瘍の内訳はガングリオン6例,粉瘤・血管腫・腱鞘巨細胞腫が各々3例,結節性筋膜炎2例,その他6例で悪性腫瘍はなかった.腫瘍の大きさは2~90 mmと様々で平均22 mmであった.21例でMRIが実施され4例は鎮静下に行われていた.手指血管腫の1例に術後6年で再発を来し再切除した.【結論】自験例は腫瘍類似疾患と良性腫瘍が約半数ずつで悪性はなかった.再発リスクのある腫瘍もあり注意が必要である.

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Cite This Study

伊原 et al. (2026) studied this question.

synapsesocial.com/papers/69eb0899553a5433e34b38d9https://doi.org/10.5035/nishiseisai.75.287
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