恶性纤维组织细胞瘤。文献综述及一例4岁儿童病例报告。
Malignant fibrous histiocytoma. Review of the literature and report of a case in a four-year-old child.
作者信息
Xypolyta A, Zachariades N
机构信息
First Department of Pediatrics, Medical School, University of Athens, Greece.
出版信息
Rev Stomatol Chir Maxillofac. 1988;89(3):158-61.
A case of fibrous histiocytoma is presented, originally diagnosed as aggressive, which eventually ran the course of fibrosarcoma. We feel that when dealing with any form of "fibromas" one must be very careful as far as the diagnosis and the prognosis are concerned, because there are no clear histological and clinical borders between the benign and malignant counterparts. A wide excision is required in most of the cases, if a recurrence is to be avoided, and a close follow-up to detect any metastasis. The term "aggressive" used in many such lesions could be a convenience in the face of inability to better describe the tumor, and inaccuracy should rather turn our attention towards the malignant side.
本文报告一例纤维组织细胞瘤病例，最初被诊断为侵袭性肿瘤，最终发展为纤维肉瘤。我们认为，在处理任何形式的“纤维瘤”时，在诊断和预后方面都必须非常谨慎，因为良性和恶性肿瘤在组织学和临床方面并没有明确的界限。为避免复发，大多数病例需要进行广泛切除，并密切随访以检测是否有转移。许多此类病变中使用的“侵袭性”一词，可能是在无法更好地描述肿瘤时的一种简便说法，但这种不准确应该让我们更加关注其恶性的一面。
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