头颈部横纹肌肉瘤8例
[Eight cases of rhabdomyosarcoma in head and neck].
作者信息
Xiao Q, Huang S, Guo Z, Huang Z
机构信息
Department of Otolaryngology, Second Affiliated Hospital, Guangzhou Medical College, Guangzhou 510260.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2001 Jul;15(7):311-2.
OBJECTIVE
To improve the clinical diagnosis and treatment level of rhabdomyosarcoma in head and neck.
METHOD
It was based on the documents that 8 cases of rhabdomyosarcoma in head and neck had been diagnosed by pathological diagnosis.
RESULT
The 8 cases were treated by operation. Among 8 patients, 5 took radiotherapy after operation. 1 took chemotherapy after operation. We kept in touch with 7 patients, the survival rate of 5 years was 57.1% (4/7).
CONCLUSION
We must pay attention to the painful or painless phyma in the otolaryngology and head and neck. It has the possibility of being rhabdomyosarcoma. We diagnose the rhabdomyosarcoma through biopsy and immuohistochemistry and with the references from the examination of CT, MR. In order to improve the survival rate of patients of rhabdomyosarcoma, we should use the comprehensive treatment, including operation, radiotherapy, and chemotherapy.
目的
提高头颈部横纹肌肉瘤的临床诊断与治疗水平。
方法
依据8例经病理诊断确诊的头颈部横纹肌肉瘤病例资料。
结果
8例均行手术治疗，其中5例术后行放疗，1例术后行化疗。对7例患者进行随访，5年生存率为57.1%（4/7）。
结论
对头颈部耳鼻喉科出现的有痛或无痛性肿块要加以重视，其有可能为横纹肌肉瘤。通过活检、免疫组化并结合CT、MR检查进行横纹肌肉瘤的诊断。为提高横纹肌肉瘤患者的生存率，应采用包括手术、放疗及化疗在内的综合治疗。
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