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目的探讨四肢软组织恶性肿瘤漏误诊原因及治疗效果。方法结合文献对 11例软组织恶性肿瘤进行回顾性分析。结果术前漏误诊 3例 ,死亡 6例 ,存活 4例 ,失访 1例。治疗 :髋关节离断术 2例 ,局部扩大切除术 2例 ,肩关节离断术 1例 ,局部扩大切除加腹股沟淋巴结清扫术 1例 ,前臂截肢术 1例 ,术式不详 2例 ,放弃治疗 2例。结论四肢软组织恶性肿瘤术前有一定漏误诊率 ,恶性度高 ,预后差。治疗以手术为主 ,辅以放及化疗 ;预防局部复发和远隔转移是提高本病生存率的关键
Objective To explore the causes of misdiagnosis and treatment of malignancies in limb soft tissues. Methods A retrospective analysis of 11 cases of soft-tissue malignancies was performed in the literature. Results There were 3 cases misdiagnosed before surgery, 6 cases died, 4 cases survived, and 1 case lost follow-up. Treatment: 2 cases of hip disunion, 2 cases of extended resection, 1 case of shoulder dissection, 1 case of partial enlarged resection and inguinal lymphadenectomy, 1 case of forearm amputation, 2 cases of unknown operation, and 2 treatments abandoned 2 cases. Conclusion There is a certain misdiagnosis rate before surgery in malignant tumors of limb soft tissue. The degree of malignancy is high and the prognosis is poor. Treatment is mainly surgery, supplemented by radiotherapy and chemotherapy; prevention of local recurrence and distant metastasis is the key to improving the survival rate of the disease