Himstedt P D, Markewitz A G, Müller H
Hautarzt. 1982 Oct;33(10):529-32.
During a 6-year period only a single case of sarcomatous transformation in neurofibromatosis (v. Recklinghausen's disease) was found among 1561 autopsies. The clinical course and histopathological changes of this rare case are described. The incidence of sarcomatous transformation seems to be less than 3%, in contrast to some data reported in the literature. These fibrosarcomas of the nerve sheaths usually originate in subfascial nodes and in other clinically poorly accessible locations. Some cases in the literature indicate genetic factors to be responsible for the sarcomatous transformation. Therefore, patients with such a family history should be followed closely.
在6年期间,1561例尸检中仅发现1例神经纤维瘤病(冯·雷克林豪森病)发生肉瘤样变。本文描述了这一罕见病例的临床病程及组织病理学变化。与文献报道的一些数据相比,肉瘤样变的发生率似乎低于3%。这些神经鞘纤维肉瘤通常起源于筋膜下结节及其他临床难以触及的部位。文献中的一些病例表明遗传因素与肉瘤样变有关。因此,有此类家族史的患者应密切随访。