干旱区生态环境知识资源中心(Arid): 上皮样肉瘤的症状和治疗

Arid

	上皮样肉瘤的症状和治疗
其他题名	Symptom and treatment of epithelioid sarcoma
	郭阳; 田光磊; 胡漆; 常万绅; 李淳
来源期刊	中华手外科杂志
ISSN	1005-054X
出版年	2004
卷号	20 期号:4 页码:208-209
中文摘要	目的报道5例手部上皮样肉瘤(epithelioid sarcoma)并结合国内外29篇文献介绍其临床表现,治疗方法及预后.方法 5例肿瘤均在手掌部,皮肤无异常,伴不适感或轻度压痛.4例的受累指伸直受限,呈轻度屈曲状.肿瘤的长径为1.0～5.0cm,质地硬韧,边界不清,底部固定.均行肿瘤边缘切除术.结果病理诊断为上皮样肉瘤.2例在术后2个月内复发,1例作截肢术,1例拒绝手术.3例术后随访3～18个月,无复发.结论上皮样肉瘤好发于青少年及手部,初起时无明显症状,为手部常见软组织恶性肿瘤之一.无特异性症状及体征,国内用肿瘤边缘切除术和扩大切除术,国外用根治术.诊断依靠病理结果,术后复发率高,预后不佳.
英文摘要	Objective To report 5 oases of epithelioid sarcoma in the hand, and analyze the clinical hehavior, treatment methods and prognosis through review of the liteiatuer. Methods All the tumors occurred in the palm of the hand. No skin abnormality was seen. There was discomfort and slight tenderness. The 4 involved fingers had difficulty in extension, with slight flexion deformity. Tlie tumor was 1.0-1.5 cm in diameter, hard and tenacious in nature, with unclear border and fixed. All of the 5 cases was treated by marginal resection. Results Tlie pathological diagnosis was epithelioid sarcoma. Two of tlie patients had a recurrence 2 montlis after tlie operation. One of them had amputation, while the other refused further operation. During the follow-up period from 3 to 18 months, there was no recurrence in tlie rest 3 cases. Conclusion Epithelioid sarcoma is one of tlie most common malignant soft tissue tumors of tlie hand in teenages. There are no specific symptoms and signs. Marginal resection and extensive resection have been reported domestically, while radical resection is reported abroad. Its diagnosis is based on pathological results. It has a high recurrence rate and bad prognosis.
中文关键词	肉瘤 ; 外科手术 ; 预后 ; 上皮样肉瘤
英文关键词	Sarcoma Surgical procedures operative Prognosis Epithelia sarcoma
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1682255
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205841
作者单位	北京积水潭医院手外科, 100035
推荐引用方式 GB/T 7714	郭阳,田光磊,胡漆,等. 上皮样肉瘤的症状和治疗[J],2004,20(4):208-209.
APA	郭阳,田光磊,胡漆,常万绅,&李淳.(2004).上皮样肉瘤的症状和治疗.中华手外科杂志,20(4),208-209.
MLA	郭阳,et al."上皮样肉瘤的症状和治疗".中华手外科杂志 20.4(2004):208-209.