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自1977~1985年,我院共收治骨原发性恶性纤维组织细胞瘤11例,计男7例,女4例;年龄18~65岁,平均38.6岁。作者复习国内文献报道的62例连同本文报告的11例共73例进行分析。认为本病在发病性别上男多于女,以膝关节周围多见,与国外报道相似,但在发病年龄方面比国外年轻。以病理诊断为主,标本应在不同部位采取多切片仔细检查。在治疗方面,肿瘤局限未穿破骨心质者,可采用切刮、瘤腔烧灼后植骨或骨水泥填充,若穿破骨皮质应截肢治疗。
From 1977 to 1985, 11 cases of primary malignant fibrous histiocytoma of bone were treated in our hospital, including 7 males and 4 females, aged 18 to 65 years with an average of 38.6 years. The authors reviewed 62 cases reported in domestic literature together with 11 cases reported in this article a total of 73 cases for analysis. The disease is considered to be more male than female in terms of gender, and it is more common around the knee, similar to foreign reports, but younger than the age of onset in the age of onset. The main pathological diagnosis, specimens should be carefully examined in different parts of the multi-slice. In terms of treatment, patients with tumors that have not worn a broken bone may be able to use a scraping knife or a tumor cavity to perform bone grafting or bone cement filling. If the cortical bone is worn, it should be amputated.