Central jaw cancer recurrence

What should I do if central mandibular cancer recurs? Bone tumor recurrence is a serious orthopedic disease, but how much do we know about this disease? I think many patients do not have time to learn about what to do if bone tumors recur. Now, I will introduce to you what to do if bone tumors recur.

According to the data, the incidence of benign bone tumors in my country is 55.7%, and the ratio of benign to malignant is 2:1. The most common age is adolescents. Common ones include osteochondroma, osteoid osteoma, osteochondroma, osteoma, etc. The most common sites are the femur and tibia. However, solitary bone cysts, non-ossifying fibromas, fibrous dysplasia of bones, eosinophilic granulomas, etc. are clinically called "tumor-like lesions". It is generally believed that they are not real bone tumors, but because their morphology, growth location and symptoms are similar to bone tumors, and they can coexist with bone tumors or serve as the basis for the occurrence of bone tumors, people have long attributed these lesions to benign bone tumors.

Common surgical methods for removing benign tumors include:

1. Tumor curettage and filling: The purpose is to completely remove the tumor. It is used for tumors that grow outside the bone or benign sclerosing tumors that grow in the medullary cavity.

2. Tumor resection: It is divided into segmental resection of the diseased bone shaft, bone tumors located at the joint end and full bone resection. Most patients need bone transplantation after surgery (a small number of benign tumors that are relatively large or have already had fractures can be treated with this surgery).

Postoperative bone reconstruction surgery: Most bone tumor surgeries require the removal of a portion of the bone, so the bone defect must be reconstructed, otherwise it will leave serious functional impairment. For tumor patients with relatively small bone defects, autologous bone transplantation is a traditional and effective reconstruction method. The bone taken is mostly from the middle and upper parts of the ilium and fibula, which will not affect the patient's postoperative movement and quality of life. For patients with relatively large bone defects, limb-saving reconstruction surgery may be necessary.

This mainly includes the following methods:

1. Replacement of artificial prosthesis: It is the most widely used and most effective method in limb salvage reconstruction.

2. Bone transplantation: It is one of the most commonly used methods of tissue transplantation. Bone tissue is much easier to preserve than skin, fascia, tendon, blood vessels and other transplanted tissues. Bone transplantation here mainly refers to the combined transplantation of autologous, allogeneic bone and artificial bone.

3. Inactivation and reuse of tumor bone: The diseased bone is removed, and after special inactivation treatment, it is implanted into the human body to reconstruct the function of the limb. It has the advantages of better biological reconstruction and no immune rejection reaction, as well as simple and easy operation and relatively safe.

4. Soft tissue repair: Since tumor patients need extensive soft tissue resection during surgery, soft tissue repair is extremely important after limb-sparing tumor resection surgery in the joint area and during functional reconstruction, and is even directly related to the patient's future quality of life.

The latest advances in surgical methods:

1. Percutaneous tumor resection: Some smaller bone tumors, especially osteoid osteomas, are not easy to locate during surgical resection. Therefore, some scholars have proposed percutaneous resection of these tumors, that is, subcutaneous puncture biopsy is performed under the guidance of CT, and then a micro drill is placed into the tumor nest to drill and cut the lesion. A laser probe can also be placed into the tumor nest to use the heat generated by the laser to destroy the tumor tissue to achieve the purpose of treating the tumor.

2. Percutaneous drug injection therapy: First, perform a bone puncture biopsy under the guidance of imaging, and then inject drugs into the lesion after the diagnosis is confirmed to achieve the purpose of treating the lesion.

The above content is some introduction about what to do if bone tumors recur. I believe that everyone will have a certain understanding after reading it. At the same time, the editor also recommends that if you unfortunately suffer a recurrence of bone tumors, you must go to a regular hospital for treatment and cooperate with the doctor's treatment.