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本文报告作者经手术治疗的口腔颌面部间叶组织恶性肿瘤31例的一般资料、临床观察、病理发现、鉴别诊断和随访结果。并结合文献进行讨论。31例中84％的病理切片经过复查,94％经过随访。共有10种类型,分布在10个解剖部位。讨论中着重分析了恶性纤维组织细胞瘤,其发病最多,最易误诊,其预后较一般文献报告的为好。其他类型除纤维肉瘤外,预后均较差。与病变大小关系密切。在复发问题上强调种植复发的重要性。
This article reports the general data, clinical observations, pathological findings, differential diagnosis, and follow-up results of 31 cases of surgically treated malignant tumors of the oral and maxillofacial tissues. And discuss the literature. Of the 31 cases, 84% of the pathological sections were reviewed and 94% were followed up. There are 10 types, distributed in 10 anatomical sites. The discussion focused on the analysis of malignant fibrous histiocytoma, which is the most frequent and most likely to be misdiagnosed. Its prognosis is better than that reported in the general literature. In addition to other types of fibrosarcoma, the prognosis is poor. Closely related to the size of the lesion. The importance of implant recurrence is emphasized in the issue of recurrence.