11例复发纤维肉瘤的治疗

Report on the Treatment of Eleven Cases of Recurrent Fibrosarcoma

目的 :探讨复发纤维肉瘤的治疗方案。方法 :分析四川大学华西医院 1998～ 2 0 0 0年收治的复发纤维肉瘤病人 11例的治疗并复习有关文献。结果 :11例均于院外行单纯局部切除后复发 ,最多为复发 5次 ,入院后行广泛切除后皮瓣转移 ,并辅以术后放疗 ,愈后良好 ,随访无复发。结论 :复发纤维肉瘤病人行广泛切除后皮瓣转移并辅以术后放疗是较好的治疗方案。

Objective:To investigate the effective therapy for recurrent fibrosarcoma.Methods:The authors analyzed the data of the 11 cases of recurrent fibrosarcoma from 1998 to 2000 treated in the institution were analyzed and the literatures concerned were reviewed.Results:All of the patients had underwent one or several regional lesion resections before admission.After thorough pre operative preparation,exleusive resection was performed and the wounds were covered with various types of flaps.Adjuvant local radiotherapy was delivered after surgery.Over one to three years of follow up no recurrence or metastasis was observed.Conclusion:Extensive excision and flap transfer with postoperative local radiotherapy might be a effective therapy for recurrent fibrosarcoma.