Poole R R, Barry J M, Carey T C
Urology. 1979 Aug;14(2):167-73. doi: 10.1016/0090-4295(79)90152-3.
All cases of hemangiopericytomas involving the male pelvis which have been reported in the English literature with clinical data have been reviewed. Their clinical features, roentgenographic findings, pathologic features, and treatment are presented with an illustrative case. The tumor is an aggressive neoplasm which characteristically produces late local recurrences or metastases. Since the clinical behavior cannot be reliably predicted from its histologic appearance, all must be regarded as malignant. Primary treatment should be en bloc excision since a high recurrence rate results when simple enucleation or excision is performed. Long-term follow-up is mandatory, and local recurrences or metastases should be resected whenever feasible. Radiation and chemotherapy may convert a nonresectable lesion into a resectable one and provide significant palliation.
对英文文献中报道的所有涉及男性骨盆的血管外皮细胞瘤病例及其临床资料进行了回顾。文中结合一个典型病例介绍了其临床特征、X线表现、病理特征及治疗方法。该肿瘤是一种侵袭性肿瘤，其特点是晚期出现局部复发或转移。由于无法根据其组织学表现可靠地预测临床行为，因此所有病例均应视为恶性。主要治疗方法应为整块切除，因为单纯摘除或切除会导致高复发率。必须进行长期随访，只要可行，应切除局部复发灶或转移灶。放疗和化疗可将不可切除的病变转变为可切除病变，并提供显著的姑息治疗效果。
