摘 要：目的进一步提高对隆凸性皮肤纤维肉瘤(DFSP)的认识,探讨正确和规范手术治疗的重要性.方法对119例隆凸性皮肤纤维肉瘤,进行临床和病理资料的回顾性分析.结果 119例中有111例(占93.3%)在入院前被误诊为良性肿瘤而行局部切除术,经补充广泛切除、病理检查最终明确局部有肿瘤残留者57例,占51.4%,其中40例(占70.2%)在查体或B超检查时未能发现残留灶;12例(占10.1%)出现纤维肉瘤样改变(DFSP-FS),其中10例见于局部切除或广泛切除后复发的病例(复发次数1～13次不等).结论为避免误诊,临床医师有必要进一步提高对DFSP的认识;在局部切除术后,一经病理检查确诊为DFSP,必须施行补充广泛切除以避免肿瘤残留;为减少复发,宜重视首次手术的正确治疗和广泛切除手术的规范治疗.
关键词：隆凸性皮肤纤维肉瘤 纤维肉瘤样改变
分类号：R6 文献标识码：A
文章编号：1005-2205(2002)08-0472-02
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