隆突性皮肤纤维肉瘤14例临床分析

发布时间：2017-12-27 20:12

本文关键词：隆突性皮肤纤维肉瘤14例临床分析　出处：《重庆医学》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨隆突性皮肤纤维肉瘤(DFSP)的临床特点、治疗方式和预后情况。方法回顾性分析2008~2014年该院收治的14例DFSP患者的临床及病理资料,比较其临床特征、首次治疗方案、治疗经过、复发及转移情况。结果 6例患者的初次治疗方案为普通切除术,术后均出现复发,其中包括转移1例。其余8例患者中有1例接受普通切除术加放、化疗,3例接受扩大切除术,3例接受扩大切除加皮瓣移植术,1例接受冷冻治疗加扩大切除术,此8例患者术后均未见复发或转移。结论对DFSP认识不足,首次手术切除不彻底是其复发的主要因素。
[Abstract]:Objective to investigate the clinical characteristics, treatment and prognosis of dermatfibrosarcoma protuberant (DFSP). Methods the clinical and pathological data of 14 DFSP patients admitted to our hospital during 2008~2014 were retrospectively analyzed. The clinical characteristics, the first treatment plan, treatment course, recurrence and metastasis were compared. Results the primary treatment of 6 patients was common excision, and all of them recurred after operation, including 1 cases of metastasis. The remaining 8 cases in 1 patients receiving general resection plus radiotherapy and chemotherapy, 3 patients received extended resection, 3 cases underwent extended resection combined with flap transplantation, 1 cases received cryotherapy combined with extended resection, 8 cases of the patients had no recurrence or metastasis. Conclusion there is insufficient understanding of DFSP and the primary surgical removal is the main factor for its recurrence.
【作者单位】：第三军医大学大坪医院野战外科研究所肿瘤中心;第三军医大学大坪医院野战外科研究所灵顿中子后装治疗中心;
【分类号】：R739.5
【正文快照】： 隆突性皮肤纤维肉瘤(dermatofibrosarcoma protuber-ances,DFSP)是一种临床上相对罕见的皮肤软组织肉瘤,其发病率为0.8/100万至5/100万,占所有恶性肿瘤的0.1%[1]。DFSP常表现为生长较为缓慢的小结节,好发于躯干及四肢近端[2],为低度恶性表现,但可呈浸润性生长,手术局部切除不

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