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本文对152例确诊的骨肉瘤的转移部位做了全面分析。其中43例并有详细的尸检结果。肢体长骨的肉瘤比发自其他骨者生存期较长,因之发现转移的机会和范围较广。长骨肉瘤患者死于转移瘤者不论临床或尸检上,均示90%以上患者有肺转移;有肺外转移者,临床上为33%,尸检上达83%。肺外转移场所以骨为最,尤其椎骨和盆骨;有淋巴结转移者不到10%;无处不可发生,唯肌肉最少。
In this paper, a comprehensive analysis of the metastatic sites of 152 confirmed osteosarcomas was performed. Of these, 43 cases had detailed autopsy results. The long-bone sarcoma of the limb has a longer survival period than that of other bones. Therefore, the chances and scope of the metastasis are wider. Patients with long bone sarcoma who died of metastases regardless of clinical or autopsy showed that more than 90% of patients had lung metastases; those with extrapulmonary metastases were 33% clinically and 83% on autopsy. The site of extrapulmonary metastases is bone, especially the vertebrae and pelvis; there are less than 10% of lymph node metastases; no place can not occur, only the least muscle.