肝脏未分化肉瘤1例报告并国内文献复习  

Liver undifferentiated sarcoma:a case report and literature review of the Mainland.

作　　者：魏象东[1] 谭志军[1] 陶金波[1] 

机构地区：[1]寿光市人民医院普外科,山东寿光262700

出　　处：《泰山医学院学报》2008年第10期812-814,共3页Journal of Taishan Medical College

摘　　要：目的探讨肝脏未分化肉瘤的临床特点和诊治方法。方法对收治1例肝脏未分化肉瘤患者的临床资料进行回顾性分析,并检索1996年至2007年国内有关肝脏未分化肉瘤的文献。结果本组1例加20篇文献中报道的资料较完整的有30例,共计31例,其中年龄3～11岁24例(77.4%),15～63岁7例(22.6%)。肿瘤位于肝右叶18例(58.1%),位于肝左叶10例(32.3%),累及左右两叶3例(9.7%)。最小者8.5 cm×6.5 cm,最大者18 cm×16 cm×12 cm。结论肝脏未分化肉瘤多好发于儿童及青少年,肿瘤多位于肝右叶,体积一般较大,最好的治疗方法为手术切除,术后常易复发及发生远处转移,预后较差。Objective： To investigate the clinical features,diagnosis and treatment methods of liver undifferentiated sarcoma. Methods： The clinical data of 1 case with liver undifferentiated sarcoma admitted in Shouguang People＇s Hospital and related liver undifferentiated sarcoma literature retrievaled from 1996 to 2007 were analyzed retrospectively. Results： The total cases of 31 were composed of 1 case in this group and 30 cases had more complete information reported in the literature. Among them,24 cases of 3 to 11 years old （77.4%） ,7 cases of 15 to 63 （22.6%）. The tumor was located in the fight lobe in 18 cases （58.1%） ,in the left lobe in 10（32.3% ） and in both lobes in 3（9.7% ）. The mimimum size of tumors was 8.5 cm×6.5 cm and the maximum 18 cm ×16 cm ×12 cm. Conclusion： With higher incidence rate in children and young people, liver undifferentiated sarcoma is often located at the right liver and has larger size. The best treatment for this tumor is surgical excision. Because of the distant metastasis and recurrence, the prognosis is always poor.

关 键 词：肝脏未分化肉瘤 临床特点 诊断 治疗 

分 类 号：R735.7[医药卫生—肿瘤]