Nilsonne U, Broström L A, Aparisi T
Department of Orthopaedics, Karolinska Hospital, Stockholm, Sweden.
Ann Chir Gynaecol. 1995;84(1):63-70.
Fifteen patients with primary classical osteosarcoma tumours are presented, all of whom have been operated on with local en bloc resection of the tumour mass in combination with adjuvant treatment with human leucocyte interferon. All patients have at present been followed up for more than fifteen years and half of them have shown no tumour recurrence. One patient committed suicide and eight died of generalized tumour disease. Two patients developed lung metastases five and eight years after primary surgery. This form of treatment, allowing limb preservation, is presented as an alternative to conventional ablative surgery providing that it is reserved for centres with specialized surgical teams.
本文介绍了15例原发性经典骨肉瘤患者,所有患者均接受了肿瘤块局部整块切除手术,并辅以人白细胞干扰素治疗。目前所有患者均已随访超过15年,其中一半患者未出现肿瘤复发。1例患者自杀,8例死于全身性肿瘤疾病。2例患者在初次手术后5年和8年出现肺转移。这种保留肢体的治疗方式,作为传统根治性手术的替代方案被提出,但前提是仅适用于拥有专业手术团队的中心。