局部扩大切除术治疗隆突性皮肤纤维肉瘤43例临床分析  

Clinical analysis of 43 cases of dermatofibrosarcoma protuberans treated with wide local excision

作　　者：洪安澜 曹蒙 王焱 乐张慧 张倩 布文博 黄莉明 王丽丽 王强 赵亮 方方 HONG Anlan;CAO Meng;WANG Yan;YUE Zhanghui;ZHANG Qian;BU Wenbo;HUANG Liming;WANG Lili;WANG Qiang;ZHAO Liang;FANG Fang(Department of Dermatologic Surgery,Hospital for Skin Diseases(Institute of Dermatology),Chinese Academy of Medical Sciences and Peking Union Medical College,Nanjing 210042,China)

机构地区：[1]中国医学科学院北京协和医学院皮肤病医院皮肤外科,江苏南京210042

出　　处：《中国麻风皮肤病杂志》2020年第2期83-86,共4页China Journal of Leprosy and Skin Diseases

基　　金：国家自然科学基金面上项目(编号:81872216);2018年北京协和医学院研究生教育教学改革项目(编号:10023201801701)。

摘　　要：对我院43例隆突性皮肤纤维肉瘤(dermatofibrosarcoma protuberance,DFSP)临床病理资料进行回顾性分析。43例患者中,男18例,女25例;发病前有肿瘤家族史者2例,有局部外伤史者5例,无明显诱因者36例;皮损表现为肿块40例,斑片1例,表皮萎缩1例,瘢痕样增生1例。组织病理示40例为经典型DFSP,2例为萎缩型,1例为黏液型。39例沿皮损边界扩切2~4 cm,其中随访28例(1例复发);3例扩切<2 cm,2例失访,1例转移;1例扩切>4 cm,失访。The clinic data of 43 patients(18 males and 25 females)with dermatofibrosarcoma protuberance(DFSP)was analyzed retrospectively.Of the 43 patients,2 had a family tumor history,5 had a history of injury,and 35 had no obvious predisposing cause.The lesions were manifested as tumor in 40 patients,patch in 1,epidermal atrophy in 1 and cicatricial hyperplasia in 1.Biopsy showed typical DFSP in 40 patients,atrophic type in 2 and mucus type in one.The removal range of the lesions were extend for 2-4 cm in 39 patients,Out of these patients,28 were followed-up and one was recurrent.The removal range of the lesions were extend for less than 2 cm in 3 patients,among them one was recurrent and two were lost to follow-up.One patient with more than 4 cm removal range was lost to follow up.

关 键 词：隆突性皮肤纤维肉瘤 局部扩大切除术 

分 类 号：R739.5[医药卫生—肿瘤]