CAJ | 학술논문

目的：总结15例上肢软组织恶性肿瘤的治疗及预后。方法对15例上肢软组织恶性肿瘤，在最大限度保存上肢功能的前提下，以手术治疗，将肿瘤及边缘的正常组织一并切除。对5例诊断为恶性纤维组织细胞瘤病例及3例诊断为纤维肉瘤病例于术后给予化疗。结果术后随访最短6个月，最长5年，平均3.5年。其中1例左肘上皮样肉瘤于术后1年因肺部转移而死亡，其余患者无远处转移。5年生存率为80%。局部复发10例，复发率为67%；由于多次复发最终上肢截肢2例，肢体保存率为86%。结论上肢软组织恶性肿瘤治疗主要手段为手术辅以化疗等综合治疗。
목적：총결15례상지연조직악성종류적치료급예후。방법대15례상지연조직악성종류，재최대한도보존상지공능적전제하，이수술치료，장종류급변연적정상조직일병절제。대5례진단위악성섬유조직세포류병례급3례진단위섬유육류병례우술후급여화료。결과술후수방최단6개월，최장5년，평균3.5년。기중1례좌주상피양육류우술후1년인폐부전이이사망，기여환자무원처전이。5년생존솔위80%。국부복발10례，복발솔위67%；유우다차복발최종상지절지2례，지체보존솔위86%。결론상지연조직악성종류치료주요수단위수술보이화료등종합치료。
Objective To summarize the treatment and prognosis in 15 cases of soft tissue malignant tumors in the upper extermity in recent 5 years. Methods soft tissue upper limb 15 malignant tumors were involved in the study. The treatment included surgical excision of the tumor and its surrounding tissue. The limb function was kept as intact as possible for preservation of upper extremity. Chemotherapy was carried out between 5 ma-lignant fibrous histiocytoma( MFH) and 3 fibrosarcoma. Results The postoperative following check-up ranged from 6 months to 5 years with an average of 3. 5 years. Among them,1 cases of left elbow epithelioma died of lung metastasis 1 year after operation,no metastasis occured in other cases. The 5 year survival rate was 80%(12 cases) . Local recurrence was found in 10 cases with a recurrent rate of 67%. 2 cases received upper ex-tremity amputation dure to postoperative recurrence. The limb salvage rate was 86%. Conclusions The main treatments of upper extermity soft tissue malignant tumors are surgical excision combined with chemotherapy.