21例软组织肉瘤局部复发的治疗

Treatment of local recurrence of soft tissue sarcoma in 21 cases

目的探讨复发软组织肉瘤的治疗方案。方法分析宁德市医院放疗科1999至2007年收治的局部复发软组织肉瘤患者21例的治疗情况并复习有关文献。结果 21例复发患者再次行扩大切除术,术后辅以放疗,放疗剂量DT66～70Gy,预后良好,随访无复发。结论复发软组织肉瘤患者行再次扩大切除后辅以术后放疗是较好的治疗方法。

Objective To investigate the effective therapy for recurrent soft tissue sarcoma.Methods The data of 21cases of recurrent soft tissue sarcoma from 1999 to 2007 treated in this hospital were analyzed and the literature concerned was reviewed.Results Resection of all sarcoma was performed.Adjuvant local radiotherapy was delivered after surgery.The irradiation dose ranged from 66 to 70Gy.Over three to eleven years of follow-up,no recurrence was observed.Conclusion Extensive excision with postoperative local radiotherapy might be an effective adjuvant therapy for recurrent soft tissue sarcoma.