The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Analysis of the Recurrence after Surgical Treatment of the Hemangioma in the Extremities

사지에 발생한 혈관종의 수술적 치료 후 재발에 대한 분석

  • Kim, Young-Sin (Department of Orthopaedic Surgery, Medical School, Research Institute of Clinical Medicine, Chonbuk National University) ;
  • Choi, Hee-Lack (Department of Orthopaedic Surgery, Medical School, Research Institute of Clinical Medicine, Chonbuk National University) ;
  • Lee, Jun-Mo (Department of Orthopaedic Surgery, Medical School, Research Institute of Clinical Medicine, Chonbuk National University) ;
  • Lee, Hyung-Seok (Namwon Medical Center) ;
  • Kim, Jung-Ryul (Department of Orthopaedic Surgery, Medical School, Research Institute of Clinical Medicine, Chonbuk National University)
  • 김영신 (전북대학교 의학전문대학원 정형외과학교실) ;
  • 최희락 (전북대학교 의학전문대학원 정형외과학교실) ;
  • 이준모 (전북대학교 의학전문대학원 정형외과학교실) ;
  • 이형석 (남원의료원 정형외과) ;
  • 김정렬 (전북대학교 의학전문대학원 정형외과학교실)
  • Received : 2010.09.01
  • Accepted : 2010.11.03
  • Published : 2010.12.30
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Abstract

Purpose: To analyse the risk factors for recurrence of hemangiomas in extremities after surgical treatment and to compare with those of trunk. Materials and Methods: 120 cases of hemangioma with surgical treatments from June 1998 to September 2009 were analysed. 53 cases with surgical treatment on trunk in the same period were set to be the control group. We analyze several factors: age, location, site, size, histologic types and correlation between recurrence and each risk factor using logistic regression analysis. Results: Recurrence rate was 11.7% in extremities and 9.4% in trunk. There were no correlation between recurrence and age, site, size, histologic type. But, there was stastically significant correlation between recurrence rate and location, especially hand, forearm, feet in extremities and head and neck in trunk. Conclusion: Recurrence after surgical treatment of hemangioma is highly prevalent in anatomical location such as, hand, foot and forearm those are difficult to achieve complete resection because of close to neurovascular structures. Careful observation should be needed owing to incomplete resection can occurs recurrence.

목적: 사지에 발생한 혈관종의 수술적 치료 후 재발에 대한 위험인자를 분석하고 체간에 발생한 경우와 비교분석 하고자 하였다. 대상 및 방법: 1998년 7월부터 2009년 9월까지 본원에서 사지의 혈관종을 치료받은 120예를 대상으로 하였고 같은 기간 체간에 발생하여 수술적 치료를 시행한 53예를 비교 군으로 하였다. 종양의 호발연령, 발생부위, 위치, 크기, 조직학적 형태를 분석하였고 로지스틱 회귀 분석을 통해 각각의 인자와 재발과의 상관관계를 분석하였다. 결과: 재발율은 사지에서 11.7%였고, 체간에서 9.4%였다. 재발의 위험 인자 중 호발 연령, 위치, 크기, 조직학적 형태에 따른 통계학적 의의는 없었다. 그러나 발생 부위가 통계학적으로 의미있는 결과를 보였으며(p=0.058), 특히 사지에서는 수부, 전완부, 족부등 말단부, 체간에서는 두경부에서 호발하였다. 결론: 사지에 발생한 혈관종에 대한 재발은 수부, 전완부, 족부와 같이 완전 절제가 어려운 부위에서 흔히 발생하였다. 따라서 혈관종의 수술적 치료시 완전절제가 이루어 지지 않았을 경우는 재발에 대한 주의 깊은 추시가 요구된다.

Keywords

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