儿童臀部硬纤维瘤手术治疗37年回顾(附31例报告)  

A 37 years review of clinical study on pediatric hip dismoid tumors:a report of 31 cases

作　　者：黄华[1] 马玲[2] 杨啟政[1] 陈琦[1] 谷雅川[1] 曹振杰[1] 王朝林[1] 

机构地区：[1]郑州大学第三附属医院小儿普外科,河南省郑州市450052 [2]郑州市儿童医院核医学科,河南省郑州市450053

出　　处：《临床小儿外科杂志》2016年第1期80-82,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨儿童臀部硬纤维瘤的临床特点和治疗方法。方法回顾性分析本院自1977年1月至2014年8月收治的31例臀部硬纤维瘤患儿临床资料,患儿均进行手术边缘性切除,术后病理检查均证实为硬纤维瘤。结果 31例中,术后获随访28例,随访时间2个月至37年,平均随访时间12年3个月。12例术后原位复发,复发率为42.9%。复发时间为术后3个月至3年,多在术后2年内复发。结论硬纤维瘤是一种极端混合性质的肿瘤,其生物学行为多变,复发率高,目前主要采取以广泛手术切除肿瘤为主的多学科联合和个体化治疗。Objetive To evaluate the clinical feature and treatment of pediatric hip dismoid tumor. Methods A retrospective review was made on 31 patients who underwent treatment of pediatric hip dismoid tumors in our hospital over a 37-year period （from Jan. 1977 to Aug. 2014 ）. Clinicopathologic and treatment characteristics were analyzed. Results all cases underwent wide excision. 28 cases underwent follow-up, dur-ing a median follow-up of 147 months, 12 local recurrences were detected. The local recurrence rate was 42.9%. Conclusions Hip desmoid tumor shows aggressive growth,with high recurrence rate. Surgical opera- tion is effective, adjuvant therapy might be helpful to hip desmoid tumor.

关 键 词：臀 纤维瘤病 侵袭型 外科手术 治疗 儿童 

分 类 号：R739.95[医药卫生—肿瘤]