Lam K H, Wong J, Lim S T, Ong G B
Aust N Z J Surg. 1979 Dec;49(6):668-75. doi: 10.1111/j.1445-2197.1979.tb06484.x.
Nine cases of primary sarcoma of the jaw seen over a period of 14 years are presented. They consisted of four osteosarcomas, three fibrosarcomas, one myxosarcoma and one Ewing's sarcoma. The treatment of choice for osteosarcomas of the mandible is hemimandibulectomy with disarticulation at the temporomandibular joint. Bone graft reconstruction from the iliac crest should be done at a second stage. Palliative maxillectomy for extensive fibrosarcoma of the maxilla served to relieve one patient of local symptoms for more than a year. Myxosarcoma, a variant of fibrosarcoma, and Ewing's sarcoma of the jaw, are very rare conditions, and since these lesions are usually very extensive radiotherapy is the treatment of choice.
本文报告了14年间所见的9例颌骨原发性肉瘤。其中包括4例骨肉瘤、3例纤维肉瘤、1例黏液肉瘤和1例尤因肉瘤。下颌骨肉瘤的首选治疗方法是半侧下颌骨切除术，并在颞下颌关节处进行关节离断术。二期应进行取自髂嵴的骨移植重建。对上颌广泛纤维肉瘤进行姑息性上颌骨切除术，使1例患者的局部症状缓解了一年多。黏液肉瘤是纤维肉瘤的一种变体，颌骨尤因肉瘤非常罕见，由于这些病变通常范围很广，放疗是首选治疗方法。
