RE: Knochentumor
Das Adamantinom ist extrem selten. Daher finden sich selbst in der Literatur nur Einzelfälle (kaum größere Fallzahlen). Ein Beispiel ist unten aufgeführt. Über einen Zusammenhang mit einer anderen Erkrankung, der fibrösen Dysplasie, wird berichtet. Rückfälle scheinen aber nach adäquater operativer Behandlung mit Defektfüllung selten. Glaube kaum, dass man bei normaler Ernährung noch extra Calcium-Tabletten nehmen muß bzw. sollte.
[Adamantinoma of the tibia]
AU: Weisman,-M; Berenfeld,-B; Roffman,-M
AD: Dept. of Orthopedics, Carmel Hospital, Haifa.
SO: Harefuah. 1994 Jan 16; 126(2): 65-8, 111
AB: Adamantinoma of the tibia is a rare, malignant growth originating in epithelial fetal cells. We present a 17-year-old girl who had prolonged pain in her right calf for 6 years. X-ray showed a growing malignant lesion whose nature was confirmed by biopsy. After planning the anatomical and functional aspects, the tibia was excised in its diaphyseal part, which included the growth with wide margins. Iliac bone was implanted in place of excised tibial bone. After 1 year the implant showed complete healing and had grown to impressive size, ensuring safe carrying of body weight, and the length and function of the limb were comple-tely normal. 4 years postoperatively no pathologic lesion was noted on clinical examination, in X-rays nor in another biopsy of the implanted bone and the surrounding soft tissues.
