锁骨上区肿瘤的临床诊断与治疗  

Clinical diagnosis and treatment of supraclavicular tumors

作　　者：崔天娇[1] 崔建礼[1] 李秀存[1] 余欣[1] 孙希光[1] 徐广阳 路来金[1] 

机构地区：[1]吉林大学白求恩第一医院手足外科,长春130021

出　　处：《中华手外科杂志》2015年第6期436-438,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨锁骨上区肿瘤的发病特点、治疗方法及预后。方法回顾性分析自2008年2月至2014年4月我院收治、经病理检查确诊的62例锁骨L区肿瘤患者的临床资料。结果62例患者中良性39例（62．90％），恶性23例（37．10％）。60例接受手术切除治疗，2例穿刺活体组织检查确诊后仅行放射、化学治疗。57例获得随访，时间11～97个月。臂丛神经鞘瘤、锁骨软骨瘤、锁骨软骨肉瘤各1例复发，恶性肿瘤死亡6例。结论锁骨上区肿瘤以良性为主，臂丛神经鞘瘤最为常见，恶性肿瘤中以恶性淋巴结转移为主。早期诊断和手术治疗可以有效控制肿瘤对周围重要器官的压迫及浸润，改善外观，提高远期疗效和生活质量。Objective To discuss the clinical characteristics, treatment options and prognosis of supraclavicular tumors. Methods A retrospective review was conducted to analyze the clinical data of 62 cases of supraclavicular tumors that were confirmed by pathological examination from February 2008 to April 2014. Results In the 62 cases, there were 39 benign tumors （62.90%） and 23 malignant tumors （37. 10% ）. Tumors in 60 patients were treated with surgical resection, while 2 cases received radiation therapy and chemotherapy after needle biopsy confirmed the diagnosis. Sulticient follow-up was obtained in 57 cases, ranging from 11 to 97 months. Tumor recurrence was seen in one case of neurilemmoma of the brachial plexus, one case of clavicular chondroma and one case of clavicular chondrosarcorna. Six patients with malignant tumors died. Conclusion Most supraclavicular tumors are benign ones. Among them neurilemmoma of the brachial plexus is the most common. The majority of malignant tumors are lymph node metastasis of malignant tumors. Early diagnosis and surgical treatment can effectively control compression and infiltration of the tumor on the surrounding vital organs and improve the appearance, the long-term treatment outcomes and the quality of life.

关 键 词：肿瘤 诊断 治疗结果 锁骨上区 

分 类 号：R473.73[医药卫生—护理学]