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目的 探讨软组织恶性纤维组织细胞瘤的合理治疗方法。方法 分析 17例病人的临床、病理特点 ,并总结其治疗结果。结果 男 13例 ,女 4例 ,平均年龄 5 5 .8岁 ,平均病程 8.7个月。发生于肢体 7例 ,占 41.2 %。 2年、3年和 5年生存率分别为 47.1%、2 9.4%和 17.6 %。发生远处转移 8例 ( 47.1% ) ,区域淋巴结转移 7例 ( 41.2 % )。首次术后复发率 10 0 %。结论 临床诊断困难 ,术后复发率高 ;根治性切除为其关键治疗手段。
Objective To investigate the rational treatment of malignant fibrous histiocytoma of soft tissue. Methods The clinical and pathological features of 17 patients were analyzed and their treatment results were summarized. Results There were 13 males and 4 females with an average age of 55.8 years and an average duration of 8.7 months. Occurred in 7 limbs, accounting for 41.2%. The 2-, 3-, and 5-year survival rates were 47.1%, 29.4%, and 17.6%, respectively. Distant metastasis occurred in 8 cases (47.1%) and regional lymph node metastasis in 7 cases (41.2%). The first postoperative recurrence rate was 10%. Conclusion Clinical diagnosis is difficult and the recurrence rate is high. Radical resection is the key treatment.