摘要
目的分析上皮样肉瘤的临床特点.方法回顾我院1992～2004年收治的16例四肢上皮样肉瘤的临床表现、病理学特点及治疗结果,对获得随访的14例患者的随访结果进行分析.结果上皮样肉瘤好发于青年(平均年龄30岁),以侵犯手部软组织居多.对14例患者平均近25个月的随访显示预后不理想.扩大/根治术与局部切除术相比,可降低术后肿瘤复发率,提高生存率.结论在上皮样肉瘤复发后施行肿瘤根治术是一种安全的选择.
Objective To introduce the clinical features of a rare malignant soft tissue tumor.Methods Review the clinical findings, pathologic features and results of the treatment of 16 cases of the epithelioid sarcoma in extremities, which were treated in our hospital from 1992 to 2004. Analyze the follow-up results of 14 cases. Results The tumors occured chiefly in young adults （ mean age 30 years） and commonly involved soft tissue of the hand. Follow-up（ average 25 months, from 1 to 112 months） information on 14 patients revealed relentless clinical course with frequent recurrence（71% ）. There was a significant difference between those patients in whom had a marginal and radical resection, both in recurrence rate and disease-free survival rate. Conclusion It is safe to choose the radical resection of this disease after the tumor reoccurs.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2005年第16期1066-1068,共3页
Chinese Journal of Surgery
