摘要
本文对14例经手术、病理证实的小儿滑膜肉瘤的临床和X线表现作了分析.男9例,女5例,年龄4～14岁.病儿的特点是肿瘤边缘多不清楚和早期转移.本组14例中8例有骨质改变,包括肿瘤组织的直接浸润,引起骨质破坏;间接压迫侵蚀和反应性骨增生硬化,以及骨内原发性滑膜肉瘤的直接破坏.讨论了有关本病的诊断和治疗等问题,特别强调手术前后应给以放射治疗并辅以化学治疗.
The clinical and radiologic features of 14 cases of surgically and pathologically proved synovial sarcoma in childhood were analyzed. The patients included 9 males and 5 females, aged from 4 to 14 years. In children, the tumor margins are usually poorly defined due to paucity of fat, and early metastases are also present.Eight patients in our series were shown to have bone involvement including: (1) direct invasion of the bone by the adjacent tumor causing cortical destructio (2) indirect pressure and erosion with sharp margins and reactive sclerosis and (3) direct destruction of the bone by the primary intraosseous synovial sarcoma. The diagnosis and treatment of lesion are discussed. It is imperative that patients should be treated with radiotherapy and adjuvant chemotherapy pre and postoperatively.
出处
《青岛医学院学报》
1992年第1期20-23,88,共4页
Acta Academiae Medicinae Qingdao Universitatis
关键词
滑膜肉瘤
儿童
X线胶片
放射疗法
synovial sarcoma
children
X-ray film
radiotherapy
drugtherapy
