Gläser A
Chirurgische Universitätsklinik Halle.
Langenbecks Arch Chir Suppl Kongressbd. 1992:73-8.
Out of 92 patients with bone sarcoma and 640 patients with sarcomas of soft tissue 45 thoracic girdle amputations and 23 hemipelvectomies were performed. Radical surgery is the most effective prognostic factor. Recurrences stem from unradical operations which fail to include a compartment resection with a mantle of normal tissue in the case of soft tissue sarcomas or a resection of the sarcoma-bearing bone with normal surrounding tissue. Although multimodal therapies often cause tumour regression and necrosis, they do not stop recurrences if even minimal macroscopic parts of tumour have been left in situ.
在92例骨肉瘤患者和640例软组织肉瘤患者中，进行了45例胸廓截肢术和23例半骨盆切除术。根治性手术是最有效的预后因素。复发源于手术不彻底，对于软组织肉瘤，未能进行包含正常组织包绕的间隔切除术；对于骨肉瘤，未能切除包含肉瘤的骨骼及其周围正常组织。尽管多模式治疗常常导致肿瘤缩小和坏死，但如果肿瘤即使有极小的肉眼可见部分残留原位，也无法阻止复发。
