Scott S M, Reiman H M, Pritchard D J, Ilstrup D M
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905.
Cancer. 1989 Aug 15;64(4):925-31. doi: 10.1002/1097-0142(19890815)64:4<925::aid-cncr2820640427>3.0.co;2-t.
Over the last 20 to 30 years, a recognition and general acceptance of the entity of malignant fibrous histiocytoma and monophasic synovial sarcoma has occurred. The introduction of these diagnostic categories among the generic group of spindle cell sarcomas now requires a reevaluation of the more traditional and historic entity of fibrosarcoma and the clinical ramification of this diagnosis. A review of 132 cases of fibrosarcoma using current diagnostic criteria was undertaken to clarify the behavior of fibrosarcoma as diagnosed in current patients. Special attempts were made to correlate histologic grade and Enneking stage in fibrosarcomas in an effort to correlate their predictive value in metastatic rate and survival.
在过去的20到30年里，恶性纤维组织细胞瘤和单相滑膜肉瘤这两种实体已得到认可并被广泛接受。在梭形细胞肉瘤这一通用类别中引入这些诊断类别，现在需要重新评估更传统、更具历史意义的纤维肉瘤实体以及该诊断的临床影响。我们对132例纤维肉瘤病例采用当前诊断标准进行了回顾，以阐明当前患者所诊断的纤维肉瘤的行为。我们特别尝试将纤维肉瘤的组织学分级与Enneking分期相关联，以期将它们在转移率和生存率方面的预测价值联系起来。
