15例上肢软组织恶性肿瘤的治疗

Treatment of 15 cases of soft tisue malignant tumor in the upper extremity

目的总结15例上肢软组织恶性肿瘤的治疗及预后。方法对15例上肢软组织恶性肿瘤,在最大限度保存上肢功能的前提下,以手术治疗,将肿瘤及边缘的正常组织一并切除。对5例诊断为恶性纤维组织细胞瘤病例及3例诊断为纤维肉瘤病例于术后给予化疗。结果术后随访最短6个月,最长5年,平均3.5年。其中1例左肘上皮样肉瘤于术后1年因肺部转移而死亡,其余患者无远处转移。5年生存率为80%。局部复发10例,复发率为67%;由于多次复发最终上肢截肢2例,肢体保存率为86%。结论上肢软组织恶性肿瘤治疗主要手段为手术辅以化疗等综合治疗。

Objective To summarize the treatment and prognosis in 15 cases of soft tissue malignant tumors in the upper extermity in recent 5 years. Methods soft tissue upper limb 15 malignant tumors were involved in the study. The treatment included surgical excision of the tumor and its surrounding tissue. The limb function was kept as intact as possible for preservation of upper extremity. Chemotherapy was carried out between 5 malignant fibrous histiocytoma（ MFH） and 3 fibrosarcoma. Results The postoperative following check-up ranged from 6 months to 5 years with an average of 3. 5 years. Among them,1 cases of left elbow epithelioma died of lung metastasis 1 year after operation,no metastasis occured in other cases. The 5 year survival rate was 80%（12 cases） . Local recurrence was found in 10 cases with a recurrent rate of 67%. 2 cases received upper extremity amputation dure to postoperative recurrence. The limb salvage rate was 86%. Conclusions The main treatments of upper extermity soft tissue malignant tumors are surgical excision combined with chemotherapy.