摘要
通过对48例骶骨脊索瘤的临床、X线平片和病理形态的分析研究,提出了脊索瘤的诊断与鉴别诊断要点;骶骨脊索瘤外科切除后80%病例可以治愈,其复发率为30%,10%病例反复手术反复复发,最后迫于带瘤生存;文章又对14例复发的骶骨脊索瘤的病理形态做重点分析,发现它的侵袭性、局部复发与远隔转移并不决定于肿瘤细胞的分化程度,认为脊索瘤是局部侵袭性极强,切除后容易复发和也有远隔转移的低度恶性肿瘤。
AbstractChordoma is a low-malignant disease with lo-cal aggressiveness,easy to recur and having the-tendencv of systemic metastasis after surgery.80%of the patients with sacral chondoma could becured by surgery and the local recurrence could beseen in approximately 30%of the cases。in 10%of the patients with multiple recurrence followingserial surgery,the survival was not uneventful。According to the results of pathologic study of the14 cases,the aggressiveness of the tumor,the lia-bility of recurrence and the tendency of systemicmetastasis showed no relation to the cellular dif-ferentiation of the lesion.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1994年第11期653-655,T001,共4页
Chinese Journal of Orthopaedics