Fedenko A N, Blinov V M, Solov'ev Iu N
Arkh Patol. 1985;47(9):20-8.
Clinico-morphological characterization of the malignant fibrous histiocytoma (MFH) of soft tissues in 142 patients is presented. According to the authors' data MFH is the most frequent tumour among soft tissue malignant neoplasms (15,7%) in adult patients. The age of patients is predominantly from 40 to 70, the most frequent site is a lower limb (thigh). A typical morphological variant of MFH clearly dominates (73%): there is a tendency to the development of an inflammatory variant at the retroperitoneal tumour site. Recurrences in all group of patients (104) who were followed-up were in 68,3%, metastasis in 45,2%, the 5-year survival in 59,6% of cases. A clear-cut dependence of these indices upon the depth of tumour location soft tissues, node size, tumour site is noted. In view of pronounced domination of a MFH typical variant the final conclusion on the feasibility of separation of other variants can be only made on the basis of a much greater number of cases.
本文介绍了142例软组织恶性纤维组织细胞瘤(MFH)的临床形态学特征。根据作者的数据,MFH是成年患者软组织恶性肿瘤中最常见的肿瘤(15.7%)。患者年龄主要在40至70岁之间,最常见的部位是下肢(大腿)。MFH的典型形态学变体明显占主导(73%):腹膜后肿瘤部位有发展为炎症变体的趋势。在接受随访的所有患者组(104例)中,复发率为68.3%,转移率为45.2%,5年生存率为59.6%。注意到这些指标与肿瘤在软组织中的位置深度、结节大小、肿瘤部位有明显的相关性。鉴于MFH典型变体的明显主导地位,只有在大量病例的基础上才能得出关于其他变体分离可行性的最终结论。