摘要
我们分析了局部复发性腹膜后软组织肉瘤30例的外科治疗效果。行肿瘤完全切除者18例(60%),其中联合脏器切除6例,占33%(6/18)。全组总3年和5年生存率为39%和14%。完全切除者3年和5年生存率为49%和24%,而部分切除及探查活检者(12例)为25%和0%,两者比较差异显著(P<0.05)。结果表明完全切除复发肿瘤仍可获得长期疗效。并就肿瘤复发前无瘤间隙期、肿瘤大小、病理类型等因素对疗效的影响及其临床意义进行了探讨。
Abstract Thirty patients with locally recurrent
retroperitoneal soft tissue sarcomas,whose primary tumorshad been previously resected, were
surgically treated. Complete resction was achieved in 18 patients(60%)of which 6 underwent en
bloc resection of adjacent organs involved by the tumor. The over-all 3-and 5-year survival rate
for all patients was 39% and 14%,respectively.Survival at 3and 5 years was 49% and 24%
respectively for those undergoing complete resection,compared to25 % and 0% respectively for
those undergoing partial resection or biopsy only(P<0.00).Anaggressive surgery aimed at
complete resection. in treating recurrent retroperitoneal soft tissue sarcomasis strongly
recommended. Prognostic value and clinical significance of factors such as
diseasefreeinterval,tumor size,and histologic type were discussed.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1994年第1期36-38,共3页
Chinese Journal of Oncology