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천골 및 골반골에 발생한 거대세포종에 대한 동맥 색전술 치료의 효용성 분석(Analysis for Usefulness of Arterial Embolization on Sacral and Pelvic Giant Cell Tumors)

Other Titles
 Analysis for Usefulness of Arterial Embolization on Sacral and Pelvic Giant Cell Tumors 
Authors
 김승현  ;  윤길성  ;  조용진  ;  신규호  ;  서진석  ;  양우익 
Citation
 Journal of the Korean Bone and Joint Tumor Society (대한골관절종양학회지), Vol.19(2) : 50-55, 2013 
Journal Title
 Journal of the Korean Bone and Joint Tumor Society (대한골관절종양학회지) 
ISSN
 1226-4962 
Issue Date
2013
Keywords
sacrum ; pelvic bone ; giant cell tumor ; arterial embolization
Abstract
Purpose The purpose of this study is to determine the usefulness of arterial embolization on sacral and pelvic giant cell tumor (GCT). Materials and Methods We retrospectively reviewed the medical records of 9 patients who had undergone serial arterial embolization between December 1996 and May 2008. We analyzed the clinical outcomes and therapeutic responsiveness of arterial embolization on sacral and pelvic GCT. Results Six of 9 cases showed progression of disease (PD) status, even if 5 cases showed PD status despite of additional treatments including surgery and radiation, implying that serial arterial embolization on sacral and pelvic GCT is not effective. Three of 9 cases showed stable disease (SD) or continuous disease free (CDF) status and we analyzed associated factors with these good responses for embolization by χ2 test. The number of feeding vessels under six (p=0.048) and the number of collateral arterial supply under three (p=0.048) in the first angiogram showed significant relationships with good response for embolization, while remaining tumor staining by contrast after the first embolization and repeated embolization times were not significant. Conclusion Although serial arterial embolization is not an effective modality on sacral and pelvic giant cell tumors, it may be a pilot modality under narrow indication of tumors with poor vascularity at first angiogram.
Files in This Item:
T201305183.pdf Download
DOI
10.5292/jkbjts.2013.19.2.50
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seung Hyun(김승현) ORCID logo https://orcid.org/0000-0002-3878-1944
Suh, Jin Suck(서진석) ORCID logo https://orcid.org/0000-0001-9455-9240
Shin, Kyoo Ho(신규호)
Yang, Woo Ick(양우익) ORCID logo https://orcid.org/0000-0002-6084-5019
Cho, Yong Jin(조용진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88814
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