Hirano A, Ogawa T, Uekado Y, Yoshida T
Hinyokika Kiyo. 1985 Sep;31(9):1601-8.
A case of primary osteogenic sarcoma in retroperitoneal space is reported. A 33-year-old man was admitted to our hospital with complaints of left flank pain. On examination, a large tumor was found in the left retroperitoneal space. After resection of the tumor, the patient was treated with combined chemotherapy by the regimen of cyclophosphamide, vincristine, adriamycin and dimethyl triazeno-imidazole carboxamide (CYVADIC). He has been well for more than ten months without recurrence. Extraosseous osteogenic sarcoma of the soft tissue is extremely rare, and only 7 cases have been reported in Japan. In general, the prognosis of patients has been very poor with surgery, radiotherapy or chemotherapy alone. A suitable combination chemotherapy or radiotherapy or both following radical surgery should be performed for prolonging survival, and even obtaining a possible cure.
本文报告一例腹膜后原发性骨肉瘤病例。一名33岁男性因左侧腰痛入院。检查发现左侧腹膜后间隙有一个大肿瘤。肿瘤切除后，患者接受了环磷酰胺、长春新碱、阿霉素和二甲基三氮烯咪唑甲酰胺（CYVADIC）方案的联合化疗。他已健康超过十个月，无复发。软组织骨外骨肉瘤极为罕见，日本仅报道过7例。一般来说，单独手术、放疗或化疗患者的预后很差。为延长生存期甚至实现可能的治愈，应在根治性手术后进行合适的联合化疗或放疗或两者结合。
