手部恶性腱鞘巨细胞瘤七例报告  

Malignant giant cell tumor of tendon sheath in the hand: A report of 7 cases.

作　　者：路奎元[1] 文良元[1] 孙长太 徐红兵[1] 胡建华[1] 王英民[1] 张耀南[1] 陆少磊[1] 王小滨 

机构地区：[1]北京医院骨科,北京100730

出　　处：《中华手外科杂志》1999年第4期221-222,共2页Chinese Journal of Hand Surgery

摘　　要：目的　探讨手部恶性腱鞘巨细胞瘤的诊断和治疗。方法　分析 7例恶性腱鞘巨细胞瘤的发病过程及治疗结果。其中 3例曾作广泛切除术 3次 ,每次术后均复发。 1例多次复发者作全手切除 ,4例作肿瘤切除及局部组织广泛切除。结果　 7例术后获得随访 4～ 6年 ,均未见复发及转移。Objective To discuss the diagnosis and treatment of malignant giant cell tumor of tendon sheath in the hand. Methods The clinical manifestation and treatment outcome of 7 cases of malignant giant cell tumor of tendon sheath in the hand were reviewed. Wide excision of the tumor was performed 3 times in 3 cases, with recurrence each time postoperatively. The whole hand was finally excised in one of these cases. Excision of the tumor and wide excision of adjacent tissue were carried out in 4 cases. All cases were followed for 4 to 6 years. Results No recurrence or metastasis of the tumor was seen. Conclusions Amputation of the hand is indicated for malignant giant cell tumor of tendon sheath with obvious recurrence tendency

关 键 词：巨细胞瘤 肿瘤 继发性 原发性 腱鞘肿瘤 诊断 

分 类 号：R730.262[医药卫生—肿瘤] R738.4[医药卫生—临床医学]