Makino Y
Acta Pathol Jpn. 1979 May;29(3):389-408. doi: 10.1111/j.1440-1827.1979.tb00196.x.
The present study consists of 651 cases of soft tissue tumors originating in the head and neck area. Among these tumors 628 were benign (96%), while there were only 23 malignant cases (4%). In the benign group hemangiomas showed the highest incidence (47%) followed by tumors of adipose tissue (19%) and those of peripheral nerves (12%). Rare tumors consisted of nodular fascitis, hibernoma, lipoblastomatosis, glomus tumor, granular cell tumor, and chondroma. The majority of cases in the malignant group were either those of muscle origin or blood vessel origin. Excepting for two cases of rhabdomyosarcoma of the embryonal type and two cases of angiosarcoma, all showed recurrence and/or metastasis and terminated in death. Three cases of liposarcoma of either well-differentiated or myxoid type had a good prognosis with all three living for 3 or more years without any recurrence. Other malignant tumors consisted of malignant schwannoma, fibrosarcoma, malignant fibrous histiocytoma, alveolar soft part sarcoma, and chordoma. The age, sex, anatomical location, and differential diagnosis have also been described.
本研究包括651例起源于头颈部区域的软组织肿瘤。在这些肿瘤中，628例为良性（96%），而恶性病例仅23例（4%）。在良性组中，血管瘤发病率最高（47%），其次是脂肪组织肿瘤（19%）和周围神经肿瘤（12%）。罕见肿瘤包括结节性筋膜炎、冬眠瘤、脂肪母细胞瘤病、血管球瘤、颗粒细胞瘤和软骨瘤。恶性组中的大多数病例要么是肌肉起源要么是血管起源。除了两例胚胎型横纹肌肉瘤和两例血管肉瘤外，所有病例均出现复发和/或转移并最终死亡。三例高分化或黏液样型脂肪肉瘤预后良好，三例均存活3年或更长时间且无任何复发。其他恶性肿瘤包括恶性神经鞘瘤、纤维肉瘤、恶性纤维组织细胞瘤、肺泡软部肉瘤和脊索瘤。还描述了年龄、性别、解剖位置和鉴别诊断。
