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上海市肿瘤医院自1956至1971年共收治软组织肉瘤58例,其中以纤维肉瘤最多,滑膜肉瘤,横纹肌肉瘤、脂肪肉瘤、间皮肉瘤等等则以次递减。年龄自1至75岁,20～50岁者占2/3。男多于女。病程一般长于癌瘤,故病程甚长者亦不能排除恶性。各种肉瘤有其好发部位,多无症状,极少数仅有疼痛而无肿块,凡伴有疼痛者即暗示其发展快、恶性度高和部位深。肿物多可推动。肿物边界是否清楚与其生长速度和部位有关。软组织肉瘤以血道转移为主,但亦可淋巴转移,尤以滑膜肉瘤为突出。软组织X片检查对诊断有一定帮助。对各种肉瘤的治疗提出经验,并指出纤维肉瘤的予后最好,横纹肌肉瘤最差。
Shanghai Cancer Hospital has treated 58 cases of soft tissue sarcoma from 1956 to 1971, among which fibrosarcoma was the most, synovial sarcoma, rhabdomyosarcoma, liposarcoma, mesothelioma, and so on. From 1 to 75 years old, 20 to 50 years old accounts for 2/3. More men than women. The course of the disease is generally longer than that of cancerous tumors. Therefore, the very long course of disease cannot rule out malignancy. Various sarcomas have their predilection sites, many are asymptomatic, only a few have pain without lumps, and those with accompanied complications suggest rapid development, high degree of malignancy, and deep parts. More tumors can promote. Whether the boundary of the mass is clear is related to its growth rate and location. Soft tissue sarcoma is mainly based on hematogenous metastases, but it can also be lymphatic metastasis, especially in synovial sarcoma. Soft tissue X-ray examinations are helpful for diagnosis. He has provided experience in the treatment of various sarcomas and pointed out that the best after-treatment of fibrosarcoma is the worst and rhabdomyosarcoma is the worst.