摘要
目的阐述原发性肝脏恶性间质瘤的临床病理特征,探讨其合理的诊治方案。方法回顾性研究1961-2003年经病理证实的17例原发性肝脏恶性间质瘤的诊治情况,并结合近期文献进行分析和探讨。结果10例行肝切除术,5例因肿瘤巨大无法切除仅行切取活检,2例未手术。结论原发性肝脏恶性间质瘤临床表现及影像学表现无特异性,诊断上主要靠病理确诊。应积极争取手术治疗,对无法切除者可行化疗、放疗等综合治疗措施。对肝脏淋巴瘤更应强调综合治疗。
Objective To investigate the clinicopathological features and reasonable diagnostic and therapeutic strategy of primary malignant liver mesenchymal tumor （PMLM）. Methods Seventeen cases of PMLM admitted between 1961 and 2003 were analyzed retrospectively. All of them had complete clinical data and were confirmed by pathology. The recent literatures were reviewed. Results Ten cases received hepatectomy;5 cases received only biopsy;2 cases were not performed operation. Conclusion The clinical and imaging manifestations of PMLM are not specific. The diagnosis mainly depends on pathology. Active surgery should be performed. When surgery is impossible, chemotherapy and radiotherapy can be used. Liver lymphoma should receive comprehensive therapy.
出处
《中国实用外科杂志》
CSCD
北大核心
2006年第7期517-519,共3页
Chinese Journal of Practical Surgery
关键词
肝肿瘤
肝脏恶性间质瘤
Liver neoplasm
Malignant liver mesenchymal tumor
