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Objective: To observe the common clinical incidence of bone tumors and tumor-like lesions, including the observation of bone tumors and tumor-like lesions of different age distribution characteristics; between the occurrence and characteristics of the different parts of bone tumors and tumor-like lesions, and for decades, the different eras common bone tumors and tumor-like lesions of the clinical onset of dynamic change, in order to find the changes in law and explore the reason for the change. Methods: First, we mobilized the Third Hospital of Hebei Medical University Since its founding in 1963 to the end of 2007 bone tumors and tumor-like lesions of information, computer data entry, take double double data entry (per person a) contrast correction, delete duplicate records. Then use spss13.0 statistical analysis, the results of Result: a clear diagnosis and complete bone tumors and tumor-like lesions total of 6322 cases, 3300 cases of benign bone tumors (52%), malignancy 2,026 cases (32%), 996 cases of tumor-like lesions (16%) . In all cases, 3672 cases of men (58%), female 2650 cases (42%), the male to female ratio of about 1.39:1. Disease, bone tumors and tumor-like lesions of all ages can be the best hair ages 11 to 20 years (32.7%) and 21 to 30 years old (18.2%). 3300 cases of benign bone tumors in 1868 patients (57%) men, women, 1432 cases (43%), the male to female ratio of approximately 1.3:1. 2,026 cases of malignant bone tumors in men in 1203 cases (59%), 823 cases of women (41% ), the male to female ratio of approximately 1.46:1. 996 cases of bone tumor-like lesions in 601 cases (60%) male, female 395 cases (40%), the male to female ratio of about 1.52:1. The most common bone tumors and tumor-like lesions of the top few order osteochondroma 1447 cases (22.9%) (10.9%) of 692 cases of osteosarcoma, metastases in 594 patients (9.4%), 554 cases of giant cell tumor (8.8%), chondroma 427 patients (6.8%), fibrous dysplasia in 411 cases (6.5%), simple bone cysts in 297 patients (4.7%), 190 cases of chondrosarcoma (3%) and 128 cases of chondroblastoma (2%), osteoma 111 cases (1.8%), Langerhans cell histiocytosis of 101 cases (1.6%), malignant fibrous histiocytoma of 101 patients (1.6%). Single femur bone tumors and tumor-like lesions 1709 cases (up hair osteosarcoma, osteochondroma, giant cell tumor), 1367 cases of tibia (up hair osteochondroma, osteosarcoma, giant cell tumor), fibula have 190 cases (up hair bone osteochondroma, osteosarcoma, giant cell tumor), humerus have 483 cases (up hair bone chondroma bone cyst, osteosarcoma), radial There are 98 cases (up fat giant cell tumor, osteochondroma tumor), ulna (up hair osteochondroma, giant cell tumor), 41 cases of skull (up hair osteoma), mandible 114 cases (up hair ameloblastoma), cervicothoracic lumbar 256 cases (60 cases maximum fat metastases), 141 cases of sacral chordoma (up hair), ilium, there were 264 cases (up to metastases), 77 cases (up to metastases) pubis, ischium 42 cases (up to metastases) , scapula 136 cases (up hair osteochondroma) 46 (up to metastases), clavicle, sternum in 20 cases (up to metastases), the ribs 88 cases (up hair fibrous dysplasia) patella 21 cases (up hair chondroblastoma), 90 patients (up to become soft osteoma) metacarpal phalangeal 268 cases (up feeble osteoma), 63 cases of tarsal bone chondroblastoma (up hair), metatarsal 24 cases (up hair osteochondroma) phalanx of 62 cases (up hair the subungual bone warts). Musculoskeletal pathologic examination of each age from 1963 to 2007, the total number of cases (and this years the average annual number of cases) 532 (76), 1624 (162.4) 3195 (319.5) 5242 (524.2) , 6850 (856.3). Some of the more common bone tumor incidence in each decade are: the metastases number of cases (and accounting for the relative age of the percentage of the total number of musculoskeletal pathology and this age the average annual number of cases) from far to near 13 (2.4%, 1.9 ), 56 (3.4%, 5.6), 96 (3%, 9.6), 161 (3.1%, 16.1), 268 (3.9%, 33.5); each decade myeloma are 1 (0.2%, 0.125), 2 ( 0.1%, 0.2), 18 (0.6%, 1.8), 14 (0.3%, 1.4), 60 (0.9%, 7.5); each decade osteosarcoma were 22 (4.1%, 3.1), 105 (6.5%, 10.5 ), 165 (5.2%, 16.5), 183 (3.5%, 18.3), 217 (3.2%, 27.1); each decade chondrosarcoma were 11 (2.1%, 1.6), 23 (1.4%, 2.3), 36 ( 1.1%, 3.6), and 67 (1.3%, 6.7), and 53 (0.8%, 6.6); of each era cartilage tumor were 22 (4.1%, 3.1), 39 (2.4%, 3.9), and 84 (2.6%, 8.4 ), 124 (2.4%, 12.4), 158 (2.3%, 19.8); each decade osteochondroma were 35 (6.6%), 107 (6.6%, 10.7), 196 (6.1%, 19.6), 415 (7.9, 41.5), 449 (7.3%, 62.4); giant cell tumor of each age were 37 (7%, 5.3), 91 (5.6%, 9.1), 113 (3.5%, 11.3), 155 (3 , 15.5), 159 (2.3%, 19.9); each decade fibrous dysplasia were 2 (0.4%, 0.3), 38 (2.3%, 3.8), 65 (2%, 6.5), 119 (2.2%, 11.9 ), 187 (2.7%, 23.7); Conclusion: The group of men and women of all bone tumors and tumor-like lesions of the sex ratio is 1.39:1. The most common malignant bone tumor followed by osteosarcoma, metastatic tumor, chondrosarcoma; most common benign bone tumor followed osteochondroma, giant cell tumor, osteoma. The most common tumor-like lesions were fibrous dysplasia, simple bone cyst, Langerhans cell histiocytosis. The best bone tumors and tumor-like lesions of ages 11 to 30 years old. Osteoma is more common craniofacial bone, osteoblastoma more common in the spine, chondroma hand metacarpal and phalangeal more common, hemangiomas are more common in the spine, myeloma is more common in the spine and pelvis, malignant lymphoma of the femur and pelvis more common, common, metastases to the spine and femur common sacral chordoma, all remaining common bone tumors and tumor-like lesions of long bone multiple sites. In addition to the distal radius giant cell tumor of the best hair to the best proximal femur hair fibrous dysplasia, the rest of the ends of long bones predilection osteochondroma; humeral shaft, the femoral shaft predilection metastases; the tibial shaft predilection fibrous dysplasia; skull predilection osteoma; mandibular predilection ameloblastoma; spine addition sacral chordoma predilection predilection metastases; ilium, pubis, ischium, clavicle, sternum equally good metastases; scapula osseous osteochondroma; the ribs best hair fibrous dysplasia; patella, tarsal best hair chondroblastoma; palm phalanx best feeble osteoma. Metastases constitute an increasing trend in the past 10 years the development of a variety of tumors showed varying degrees of growth in the treatment quantity with age, myeloma the constituent ratio presented the yearly slow growth trend, bone cartilage tumor is only 90 years relative 80s growth osteosarcoma constituent ratio since the 1970s, the downward trend, chondrosarcoma constitute a slow downward trend, giant cell tumor, constitute more than a slow downward trend, chondroma, fibrous dysplasia constituent ratio change significantly.
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