摘要
目的∶探讨纤维肉瘤的诊断与治疗。方法:分析我院1994年~1997年收治的纤维肉瘤病人13例并复习有关文献。结果:院外行局部切除6例次(首次4例,复发后2例),均在术后13天~1年复发,平均67月,有1例复发5次;在我院首次广泛切除9例,除1例失访外,8例术后3年~10年复发,平均6年;复发后再次行广泛切除术12例17例次,于术后7月~4年复发,平均22年;复发后行广泛切除术加放疗3例,于3年~5年复发,平均41年;13例无远处转移,1例左大腿纤维肉瘤腹股沟淋巴结转移;误诊4例,误诊率高达30%。结论:广泛性切除术是减少纤维肉瘤复法的重要方法;辅助放疗可能延长病人复发的时间;纤维肉瘤的诊断无特殊方法,术后病检仍是目前确认的主要手段。
Objective:To investigate the diagnosis and
treatment of fibrosarcomas.Method: The clinical records of 13 cases with fibrosarcomas who
underwent surgery in our hospital between 1994 and 1997 were analyzed and previous
literature were reviewed.Result: Recurrence was noted in 6 cases with a range of 13 days to l
year(average 67months),among them 4 cases with primary fibrosarcoma and 2 cases with
recurrent fibrosarcoma were treated by locoal excision in other hospital,and nine cases
underwent initial radical surgery in our hospital.Eight cases recurred in between 3 to 10
years(average 6 years),and 1case had lost contact.Twelve cases with recurrence were treated
by radical excision for 17 times,recurrence ranged from 7 months to 4 years(average 22 years).
Three cases treated again after recurrence by radAuthor ical surgery with adjuvant
radiotherapy out recurred in between 3 to 5 years(average 41years).There were no distant
metastasis in 13 cases.Out in 1case the left thigh fibrosarcomas showed metastasis of inguinal
lymph node.Four cases were misdiagnosis.The rate of the error in diagnosis was
30%.Conclusion:Radical excision was an important treatment for reducing the rate of
recrrence;adjuvant rediotherapy after surgery could delay the recurrence.Up to now no specific
method could diagnose fibrosarcomas and pathology after surgery is still the main method in
making accurate diagnosis.
出处
《华西医学》
CAS
1999年第2期162-164,共3页
West China Medical Journal
关键词
纤维肉瘤
诊断
复发
外科手术
Fibrosarcamas
Diagnosis
Treatment
Surgery
Recurrence.