Yamawaki S, Isu K, Goto T, Ubayama Y, Goto M, Usui M, Isii S
Dept. of Orthopedics, National Sapporo Hospital.
Gan To Kagaku Ryoho. 1988 Apr;15(4 Pt 2-3):1515-20.
During the past 17 years, 35 of 60 patients with malignant bone and soft tissue tumors of the pelvic and surrounding tissues, were treated surgically. There were 13 bone tumors and 22 soft tissue tumors, There were 12 recurrent cases and 23 non-recurrent cases with cumulative 5-year survival rates of 20% and 70%, respectively. In the tumors involved even in the iliolumbar area, curative resection was difficult with poor prognosis. Serious complications also developed with high incidence immediately after operation, including ileus, severe infections and postoperative bleeding. When the affected limb was preserved, many difficulties were encountered in functional recovery. Therefore, we combine preoperative radiation and intra arterial infusion for the prevention of recurrence at the resection margin. However, we have not obtained completely satisfying results. Operations involving these tumors should be performed in cooperation with other fields.
在过去17年中，60例盆腔及周围组织恶性骨与软组织肿瘤患者中有35例接受了手术治疗。其中骨肿瘤13例，软组织肿瘤22例，复发病例12例，非复发病例23例，5年累积生存率分别为20%和70%。对于累及髂腰区域的肿瘤，根治性切除困难，预后较差。术后还立即出现了高发生率的严重并发症，包括肠梗阻、严重感染和术后出血。当保留患肢时，功能恢复遇到了许多困难。因此，我们采用术前放疗和动脉内灌注以预防切除边缘复发。然而，我们尚未获得完全令人满意的结果。涉及这些肿瘤的手术应与其他领域合作进行。
