软组织肉瘤的误诊原因与对策

The causes of delay diagnosis and the corrective measures for sarcomas

目的：对软组织肉瘤的误诊原因进行分析并提出相应的防治对策。材料与方法：以1980～1990年间收治的105例误诊病例为分析对象。结果：误诊比例占同期收治病人的25．61％（105／410），经再治疗后3、5年生存率分别为引：42％及46．67％。结论：软组织肉瘤误诊率较高，误诊后的治疗有极高的复发率和转移率，但予恰当的补救治疗仍可达到较好的疗效。

Purpose: The causes of delayed diagnosis of soft tissue sarcomas was studied, and the counter measure was discussed. Methods: From 1980 to 1990, 105 patients of sarcoma with delayed diagnosis were treated in our hospital.The treatment modalities were evaluated. Results: The rate of delayed diagnosis was 25. 6% (105/401 ) among all sarcoma patients enrolled in this period. By second treatment, 3-year and 5-year survival rates were 51. 42% and 46. 67%, respectively. Conclusion: The delayed diagnosis rate of sarcoma was quite high. There were very high reccurrent rate and metastatic rate after trentment. However, appropiate salvage therapy will achieve better result.