摘要
目的探讨尤文氏肉瘤的临床特征,避免误诊误治。方法分析1例31岁男性尤文氏肉瘤患者的临床表现,并复习文献,了解该肿瘤的病因、临床表现、诊断、鉴别诊断及治疗。结果尤文氏肉瘤是比较少见的原发骨肿瘤,无特异性临床表现,临床诊断常与骨髓炎、骨结核、淋巴细胞白血病等混淆,确诊有赖于病理。因其恶性程度高,死亡率高,采用化学疗法、放疗结合外科手术等的综合疗法有利于提高生存率。结论尤文氏肉瘤属较罕见骨肿瘤,恶性程度高,预后差。治疗手段以综合疗法为主。形态学上重视本病与淋巴瘤、淋巴细胞白血病鉴别,避免误诊。
Objective To improve the clinical recognition of Ewing＇s sarcoma and to avoid the misdiagnosis and mistreatment.Methods Clinical manifestation of a 31-year-old male patient with Ewing＇s sarcoma was analyzed and literature was reviewed.The etiology,diagnosis,differential diagnosis and treatment of tumors were investigated.Results Ewing＇s sarcoma,a rare primary benign tumor of bone,had no specific clinical manifestations and was often confused with osteomyelitis,bone tuberculosis and lymphocyte leukemia.Therefore,the diagnosis of Ewing＇s sarcoma depended on the pathology.The mortality rate is high.Because of the high degree of malignancy and high mortality,the chemotherapeutics,radiotherapy and surgical operation should be performed to increase survival in patients with Ewing＇s sarcoma.Conclusion Ewing＇s sarcoma is a rare bone tumor with high degree of malignancy and bad prognosis and can be effectively treated with combination therapy.Moreover,Ewing＇s sarcoma should be distinguish with lymphoma and lymphocyte leukemia in the morphology to avoid misdiagnosis.
出处
《实用临床医学（江西）》
CAS
2012年第1期19-21,23,共4页
Practical Clinical Medicine
关键词
尤文氏肉瘤
病理学
诊断
治疗
Ewing＇s sarcoma
pathology
diagnosis
therapy
