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头颈部横纹肌肉瘤:24 例病例报告及文献复习。

Rhabdomyosarcoma of the head and neck: 24 cases and literature review.

机构信息

Otorhinolaryngological Unit, Clinical Hospital, Medical School, São Paulo University.

出版信息

Braz J Otorhinolaryngol. 2010 Jul-Aug;76(4):533-7. doi: 10.1590/S1808-86942010000400020.

Abstract

UNLABELLED

Rhabdomyosarcoma (RMS) is a malignant tumor of soft tissues, more common in childhood, mainly located in the head and neck. It presents varied clinical and biological behavior and requires individualized management.

AIM

To describe information on patients with head and neck RMS diagnosed and treated in a hospital, and to compare them to results in the literature.

STUDY DESIGN

Descriptive and retrospective.

MATERIALS AND METHODS

A retrospective analysis of data from 24 patients with head and neck rhabdomyosarcoma diagnosed and treated in a hospital from 1994 to 2008.

RESULTS

The mean age was 7.79 years. According to gender, 54.17 % were males and 45.83 % were female. All patients underwent chemotherapy (CT), 62.5% of them also underwent radiotherapy (RT) and 16.67% were submitted to surgery. Of the 24 patients, 8 (33.3%) died, 6 (25%) were found free of neoplasia and 2 (8.3%) experienced tumor recurrence.

CONCLUSION

The RMS of the head and neck often presents with nonspecific symptoms. Individualized multimodal therapy should be performed for these patients, including surgery, chemotherapy and radiotherapy.

摘要

未注明

横纹肌肉瘤(RMS)是一种软组织恶性肿瘤,更常见于儿童,主要位于头颈部。它表现出不同的临床和生物学行为,需要个体化管理。

目的

描述在医院诊断和治疗的头颈部 RMS 患者的信息,并将其与文献中的结果进行比较。

研究设计

描述性和回顾性。

材料和方法

对 1994 年至 2008 年在医院诊断和治疗的 24 例头颈部横纹肌肉瘤患者的数据进行回顾性分析。

结果

平均年龄为 7.79 岁。根据性别,54.17%为男性,45.83%为女性。所有患者均接受化疗(CT),其中 62.5%接受放疗(RT),16.67%接受手术。24 例患者中,8 例(33.3%)死亡,6 例(25%)无肿瘤发现,2 例(8.3%)肿瘤复发。

结论

头颈部 RMS 常表现出非特异性症状。对于这些患者,应进行个体化的多模式治疗,包括手术、化疗和放疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc94/9446245/92225280ebae/gr1.jpg

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