左股骨下段原发性恶性纤维组织细胞瘤脑室内转移1例报告及文献复习  

A case report of primary malignant fibrous histiocytoma of distal femur with cerebral ventricle transference and review of literature

作　　者：李海东[1] 李停[1] 刘红潮[2] 宗阳如[3] 

机构地区：[1]湖北省新华医院骨科,湖北武汉430015 [2]湖北省新华医院脑外科,湖北武汉430015 [3]湖北省新华医院病理科,湖北武汉430015

出　　处：《现代肿瘤医学》2009年第2期320-322,共3页Journal of Modern Oncology

摘　　要：目的:探讨骨原发性恶性纤维组织细胞瘤(MFH)的临床特点及诊断。方法:报告1例原发性股骨下端MFH并脑室转移病例结合文献复习。结果:MFH临床表现无特征性,临床及影像学诊断困难,MFH的诊断主要依赖于组织病理学资料,治疗后易出现局部复发和远处转移。结论:若患者出现骨痛,局部肿块,影像学上如出现虫蚀状或大片状溶骨性破坏,巨大软组织肿块,无骨膜反应,应考虑到本病。Objective：To discuss the clinical features and diagnosis of malignant fibrous histiocytoma （MFH）. Methods：A case was reported that we had treated one patient who suffered primary malignant fibrous histiocytoma of distal femur with cerebral ventricle transference and review of literature. Results ： The clinical features of MFH are not characteristic. It＇s difficult to diagnos with clinic and imageoloy. The diagnosis of MFH mostly depends on the pathologic histology. The local recurrence and beyond transference will occur after treatment. Conclusion： If patients have bone ache, mero - lump and the iconography features such as erose or macro - osteolytic lesion or macro - lump of parenchyma which have no periostcal reaction,they should be considered to this disease.

关 键 词：骨恶性纤维组织细胞瘤 诊断 治疗 

分 类 号：R738.1[医药卫生—肿瘤]