Department of Orthopaedic Surgery, Kanazawa Red Cross Hospital, Kanazawa, Japan.
Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Anticancer Res. 2022 Mar;42(3):1555-1562. doi: 10.21873/anticanres.15629.
BACKGROUND/AIM: The management of soft-tissue tumors of 2-5 cm is not specified. We investigated the management of these cases.
Among 105 cases with soft-tissue tumors from 2014 to 2021, 38 with tumors of 2-5 cm were retrospectively reviewed. The clinical characteristics, diagnosis, and management were investigated.
The study population included 14 males and 24 females (mean age=57 years). Common histological diagnoses included lipoma, epidermal cyst, and hemangioma as benign tumors, and leiomyosarcoma (n=2) and metastatic soft-tissue carcinoma (n=1) as malignant tumors. Magnetic resonance imaging, needle and excisional biopsy were performed in 35, 19 and 19 cases, respectively. The mean follow-up period was 7 months. No recurrence was observed.
Malignancy exists, even in soft-tissue tumors of 2-5 cm (3/38; 8%). To avoid unplanned excision, needle biopsy should be considered for cases with magnetic resonance imaging abnormalities.
背景/目的：2-5cm 大小的软组织肿瘤的处理尚无明确规定。我们对这些病例进行了研究。
在 2014 年至 2021 年间的 105 例软组织肿瘤患者中，回顾性分析了 38 例肿瘤大小为 2-5cm 的患者。调查了这些患者的临床特征、诊断和治疗情况。
研究人群包括 14 名男性和 24 名女性（平均年龄=57 岁）。常见的组织学诊断包括良性肿瘤中的脂肪瘤、表皮样囊肿和血管瘤，以及恶性肿瘤中的平滑肌肉瘤（n=2）和软组织转移癌（n=1）。分别有 35、19 和 19 例患者接受了磁共振成像、细针和切除活检。平均随访时间为 7 个月。未观察到复发。
即使是 2-5cm 大小的软组织肿瘤（3/38；8%）也存在恶性肿瘤。为避免不必要的切除，对于磁共振成像异常的病例，应考虑进行细针活检。
