Available online Jul 18, 2018.
[ Original ] Volume 23, Issue 1, 2014, Pages 46-50
Background: Primary bone tumour is a challenge to Orthopaedic surgeons working in developing
countries due to late presentation as a result of ignorance and poverty. This is further compounded by
limited number of specialist personnel, diagnostic and therapeutic centres. Consequently, they are
associated with high rate of morbidity and mortality, which can be reduced with early presentation.
Materials and methods: This is a retrospective review of all histologically proven primary bone tumours
seen at National Orthopaedic hospital Enugu,South east Nigeria, over a 6 year period.
Results: Sixty eight (68) cases met the study criteria and were reviewed. Male:Female ratio was 1.35:1,
with a mean age of 22.8years and peak frequency in the 11-20years age range. A total of 28(41.1%) were
benign, 21(30.9%) were malignant while 19(27.9%) were tumour-like conditions. The commonest
benign tumour was osteochondroma, accounting for 44.7% of non-malignant lesions, while fibrous
dysplasia was the commonest tumour-like condition(23.4%). Primary malignant bone tumours
accounted for 30.9% of all pathologies, with osteosarcoma(17) accounting for 80.1% of all malignant
lesions. The commonest region affected is the leg i.e proximal tibia. Duration of symptoms before
presentation ranged from 1month to 12years, with the commonest presenting complaint being a
Conclusion: Primary bone tumours is commonest in young males, usually benign and affecting the
Tibia. Associated late presentation results in increased morbidity and mortality. Hence, efforts need to
be geared towards public enlightenment in developing countries, to ensure early presentation, thereby reducing morbidity and mortality
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Volume 23 | Issue 1
Page Nos. 46-50
Online since Jul 13, 2018