摘要
目的总结复发性腹膜后恶性纤维组织细胞瘤的诊治经验。方法回顾性分析1990～ 2 0 0 2年收治的 2 9例复发性腹膜后恶性纤维组织细胞瘤的临床与病理资料。结果 12例(4 1 4 % )患者在首次复发时完整切除肿瘤 ;有 7例患者分别在首次 (2例 )、2次 (3例 )和 3次 (2例 )复发时进行联合脏器切除。对 2 5例患者进行 6个月至 8年的随访 ,1、3年及 5年以上生存率分别为73 2 %、4 6 7%和 19 8%。结论外科手术切除肿瘤是提高复发性腹膜后恶性纤维组织细胞瘤生存率最重要的手段 ,联合脏器切除能提高肿瘤完整切除率。
Objective To sum up the clinical experience in the diagnosis and treatment of recurrent retroperitoneal malignant fibrous histiocytoma (RMFH). Methods[WT5”BZ] Clinical data of 29 recurrent RMFH from 1990 to 2002 were retrospectively analyzed. ResultsTwelve (41.4%) cases underwent total tumor resection after the first recurrence. Seven cases underwent multiple viscera resection,of which two did after the first recurrence,three after second and the other two after third recurrence. Twenty-five patients were followed up for 6 months to 8 years,The 1,3 and 5 year survival rate was 73.2%,46.7% and 19.8% respectively. [WT5”HZ]ConclusionTotal tumor resection is an effective way to treat RMFH,and multiple viscera combined resection increases the success rate of total tumor resection.
出处
《中华普通外科杂志》
CSCD
北大核心
2004年第8期473-474,共2页
Chinese Journal of General Surgery
