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在1956～1978年的22年中,本院共收治纤维肉瘤214例,其中除2例失访外,余均得到随访,随访率为99％。对197例进行了根治手术,5年和10年生存率分别为74％和63％。本文比较了初次治疗组及再次治疗组两组手术治疗的结果,提示虽然纤维肉瘤患者的病程较长,发展缓慢,但如治疗不适当,局部容易复发,复发后的血道转移发生率较高,预后较差。因此,除强调根治性手术的重要性外,对恶性程度较高或局部广泛切除有困难的患者,主张给予综合治疗。
In the 22 years from 1956 to 1978, a total of 214 cases of fibrosarcoma were treated in this hospital. Among them, except for 2 cases that were lost to follow-up, the rest were followed up with a follow-up rate of 99%. Radical surgery was performed on 197 patients. The 5-year and 10-year survival rates were 74% and 63%, respectively. This article compared the results of surgical treatment between the initial treatment group and the retreatment group, suggesting that although the disease course of the patients with fibrosarcoma is relatively long and the development is slow, if the treatment is not appropriate, local recurrence is likely, and the incidence of hematogenous metastasis after relapse is high. The prognosis is poor. Therefore, in addition to emphasizing the importance of radical surgery, it is advisable to give comprehensive treatment to patients with a high degree of malignancy or who have difficulty with a wide range of resections.