[1]张良,陈娜,郑亮,等.隆突性皮肤纤维肉瘤21例临床分析[J].中国皮肤性病学杂志,2018,(01):38-41.[doi:10.13735/j.cjdv.1001-7089.201707039]
 ZHANG Liang,CHEN Na,ZHENG Liang,et al.Clinical Analysis of 21 Patients of Dermatofibrosacoma Protuberans[J].The Chinese Journal of Dermatovenereology,2018,(01):38-41.[doi:10.13735/j.cjdv.1001-7089.201707039]
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隆突性皮肤纤维肉瘤21例临床分析
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2018年01期
页码:
38-41
栏目:
临床经验
出版日期:
2018-01-01

文章信息/Info

Title:
Clinical Analysis of 21 Patients of Dermatofibrosacoma Protuberans
作者:
张良陈娜郑亮付昱肖婧陈柳青
武汉市第一医院,湖北 武汉430000
Author(s):
ZHANG LiangCHEN NaZHENG LiangXIAO JingCHEN Liuqing
WuHan No.1 Hospitol,Wuhan 430000,China
关键词:
隆突性皮肤纤维肉瘤 诊断 扩大切除 放疗
Keywords:
Dermatofibrosacoma protuberans Diagnosis Enlarge excision Radiation therapy
分类号:
R 739.5
DOI:
10.13735/j.cjdv.1001-7089.201707039
文献标志码:
B
摘要:
目的 分析隆突性皮肤纤维肉瘤的临床特征,探讨其治疗方法。方法 回顾性分析该21例患者的临床表现,误诊情况,病理表现,影像学(包括胸片、彩超、MRI)及治疗和转归等资料,进行描述性分析。结果 21例隆突性皮肤纤维肉瘤患者中男9例,女12例; 初诊误诊13例(61.90%),21例均以扩大3cm进行手术切除,术后放疗,随访1~5年,复发2例; 结论 隆突性皮肤纤维肉瘤以单一红色结节为原发皮损,容易误诊,不易发生转移,行扩大切除术+辅助放疗是治疗隆突性皮肤纤维肉瘤的主要治疗方法。
Abstract:
Objective To analyze the clinical features and treatment of dermatofibrosarcoma protuberans. Methods The clinical manifestations, misdiagnosis, pathological features, imaging(including chest radiography, color Doppler ultrasound, MRI), treatment and prognosis of the 21 cases were analyzed retrospectively.Results There were 21 cases of patients with dermatofibrosarcoma protuberans, including 9 males and 12 females.13 cases were misdiagnosed at first visit(61.90%).Surgical resection of the enlarged 3cm was performed in 21 cases,and postoperative radiotherapy was made, and the follow-up last for 1 to 5 years; 2 cases were relapsed.Conclusion Primary lesion of Dermatofibrosarcoma protuberans is a single red nodules, so it is easy to misdiagnose.However, it is not easy to transfer.Enlarge excision plus auxiliary radiotherapy in treatment are the main treatment of fibrosarcoma.

参考文献/References:

[1] 孙洋,蔡灵龙.隆突性皮肤纤维肉瘤1例[J].中国中西医结合外科杂志,2013,19(2): 213-214.
[2] 杨朝春.隆凸性皮肤纤维肉瘤12例临床治疗分析[J].西南军医,2008,10(3):32-33.
[3] 朱月平.隆突性皮肤纤维肉瘤12例诊治体会[J].中国皮肤性病学杂志,2000,14(6):411-412.
[4] 章载良,陈杨,李夏良,等.隆突性皮肤纤维肉瘤 7 例临床与病理分析[J].临床合理用药,2012,8(9):142.
[5] Bandarchi B,Ma L,Marginean C,et al.D2-40,a nove1 immuno histemical marker in differentiating dermatofibroma from dermatofibrosarcoma protuberans [J].Modern pathology,2010,23(3):434-438.
[6] 郝永红,宋慧锋,许明,等.隆突性皮肤纤维肉瘤诊断与治疗[J].中国美容医学,2013,22(20):2012-2015.
[7] Giacchero D,Maire G,Nuin PA,et al.No correlation between themolecular subtype of COL1A1-PDGFB fusion gene and the clinicohistopathological features of dermatofibrosarcoma protuberans [J].Invest Dermatol,2010,130(3):904-907.

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更新日期/Last Update: 2018-01-05