腹部软组织平滑肌肉瘤外科治疗体会(附11例报告)  

Experience of surgical treatment with leiomyosarcoma in abdominal soft tissue:11 cases report

作　　者：王炯元[1] 朱隽[1] 练士贤[1] 童汉兴[1] 张勇[1] 柳菊[2] 陆维祺[1] 

机构地区：[1]复旦大学附属中山医院普外科腹部软组织肿瘤及间质瘤专业组,上海200032 [2]复旦大学附属中山医院病理科,上海200032

出　　处：《外科理论与实践》2012年第4期346-348,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨腹部软组织平滑肌肉瘤的临床表现、外科治疗及预后特点。方法:回顾性分析我院2009年7月至2012年3月收治的11例经手术及病理证实的腹部软组织平滑肌肉瘤的临床资料。结果 :男3例,女8例,中位年龄54(34～66)岁,腹部肿块及腹痛是主要的临床表现。肿瘤的根治切除率为72.7%,联合脏器等切除率为63.6%,10例中3例术后复发。结论:腹部软组织平滑肌肉瘤多见于女性,好发于腹膜后;根治性手术是治疗的主要手段;影像学评估及多学科协作在腹部软组织平滑肌肉瘤的外科治疗中起重要的作用。Objective To explore the clinical manifestation, surgical treatment, pathological characteristics and prognosis of smooth muscle sarcoma in abdominal soft tissue. Methods Eleven cases of leiomyosarcoma in abdominal soft tissue from Jul 2009 to Mar 2012 were analyzed retrospectively. All eases were diagnosed with pathology. Results The sarcoma was found in 3 men and 8 women, aged 34-66 years （median age： 54 years）. Abdominal pain was the main symptom and abdominal mass the main sign. The rate of complete tumor resection was 72.7% while the concomitant resection of involved adjacent organs was 63.6%. In this study, 3 cases had recurrence. Conclusions The smooth muscle sarcoma of abdominal soft tissue is mostly in retroperitoneum and in females. The radical resection is the best way of treatment. Preoperative imaging and the multidisciplinary collaboration play important roles in the surgical treatment.

关 键 词：平滑肌肉瘤 腹膜后肿瘤 外科治疗 

分 类 号：R730.5[医药卫生—肿瘤]