摘要
目的 了解原发性肺软组织肉瘤的临床特点 ,探讨合理的外科治疗方法。方法 对 12例原发性肺软组织肉瘤患者的临床资料进行回顾性分析。结果 术前均未明确诊断 ,根治性切除率为 91.7% ,未发生手术并发症 ,术后病理诊断为恶性纤维组织细胞瘤 6例 ,纤维肉瘤 3例 ,神经纤维肉瘤 1例 ,脂肪肉瘤 (黏液样型 ) 2例 ,5年生存率为 4 4 .4 %。结论 原发性肺软组织肉瘤术前易被误诊 ,手术切除是主要治疗手段 ,手术指征及术式选择应根据不同患者的具体情况而定 ,术后结合化、放疗可以提高 5年生存率。
Objective To understand the clinic characteristics of primary pulmonary sarcoma and to find out rational surgical treatment. Methods The clinical materials of 12 surgically treated patients with primary lung sarcoma were analyjed retrospectively. Results No correct preoperative diagnosis was obtained, the morbidity rate was 91.7%. Of the 12 patients, 6 suffered from malignant fibrous histiocytoma, 3 suffered fibrosarcoma, 1 suffered from neurofibrosarcoma, 2 suffered from liposarcoma. The 5-years survival rate was 44.4%. Conclusion Primary pulmonary sarcoma can be easily misdiagnosed before operation. Surgical resection is the chief treatment. The operative indications and approachs should depended on the patient's situation.
出处
《重庆医学》
CAS
CSCD
2004年第12期1792-1793,共2页
Chongqing medicine
关键词
原发
肺
肉瘤
外科治疗
surgical treatment
primary
lung
sarcoma
