Peimer C A, Smith R J, Sirota R L, Cohen B E
J Hand Surg Am. 1977 Jul;2(4):275-82. doi: 10.1016/s0363-5023(77)80126-3.
The sites of local and remote extension of primary epithelioid sarcoma of the hand and wrist were studied in six patients. The tumor was found to spread to noncontiguous areas of skin, subcutaneous tissue, fascia, bone, and lymph nodes as well as by direct extension along fascial planes. Neither local nor remote extension of the tumor could be determined accurately or dependably by clinical examination, radiography, xerography, lymphangiography or radioisotope scanning. Wide en bloc excision of the tumor or amputation is recommended as the primary treatment of epithelioid sarcoma of the hand. Axillary node dissection is advised in all cases.
对6例手部和腕部原发性上皮样肉瘤的局部和远处扩展部位进行了研究。发现肿瘤可扩散至皮肤、皮下组织、筋膜、骨骼和淋巴结的非连续区域，也可沿筋膜平面直接蔓延。临床检查、X线摄影、静电复印、淋巴管造影或放射性同位素扫描均无法准确或可靠地确定肿瘤的局部或远处扩展情况。建议对手部上皮样肉瘤进行广泛整块切除或截肢作为主要治疗方法。所有病例均建议行腋窝淋巴结清扫术。
