复发性软组织肉瘤的治疗及教训(附15例报告)

Lessons of unplanned surgery for recurrent soft-tissue sarcomas-15 cases report

目的总结软组织肉瘤外科治疗效果,探讨提高手术疗效的方法。方法回顾我院2005～2007年收治的获得随访的15例复发性软组织肉瘤,对其手术治疗效果进行分析。结果 15例病例均行广泛性或根治性切除,随访2～49个月,无瘤存活8例,带瘤生存1例,死亡6例。结论软组织肉瘤临床表现复杂,广泛切除效果良好。应强调首次治疗的重要性,如果首次治疗不当预后较差。彻底完整的切除肿瘤是手术成功的关键。

Objective To summarize the curative effect of the surgical treatment for soft tissue sarcoma, and to investigate the way to improve the clinical outcomes. Methods Fifteen patients who were treated in Shijitan hospital between 2005 and 2007 were followed up. The curative effect of surgery was analyzed. Results All patients underwent wide or radical resection, and were followed up for 2 to 49 months. The outcome was tumor-free survival（n=8）, survival with tumor（n=l）, and death（n=6）. Conclusions The clinical features of soft-tissue sarcomas were variable. Only with wide resection could the good prognosis be achieved. The importance of the first surgery must be emphasized. An unplanned operation predicts poor prognosis. The thorough wide surgical margin is the key to a better prognosis.