肺巨细胞转移性肉瘤手术治疗成功的临床病例

G. A. Baksiyan, N. G. Stepanyants, D. Astakhov, A. V. Aksenenko, A. Zavyalov
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引用次数: 0

摘要

介绍肉瘤是指起源于结缔组织的一组异质性非上皮性恶性肿瘤。这些肿瘤的特点是极具侵袭性的局部生长,淋巴结转移的发生率相对较低,主要和早期的血细胞综合征。这些肿瘤最常转移到肺部。材料和方法。本文描述了一个成功的手术治疗巨大腹膜后纤维肉瘤转移到肺部的病例。后果肉瘤的成功治疗主要取决于肿瘤学家对复杂的发病机制、组织学形式和综合治疗这一复杂、多态的恶性病理组的原则的全面理解。原发部位诊断得越早,手术治疗就越快、越明确,药物治疗越正确,复杂治疗方法的效果越好。同样,肉瘤继发部位应积极治疗,不要等到其大小和局部扩散禁忌手术治疗。结论被忽视的肉瘤病例表明需要联合和扩大手术干预,本文描述了一个成功的例子。
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Clinical Case of Successful Surgical Treatment for Giant Cell Metastatic Lung Sarcoma
Introduction. Sarcomas refer to a group of heterogeneous non-epithelial malignant tumors originating from connective tissue. These tumors are characterized by extremely aggressive local growth, relatively low incidence of lymphogenic metastases, predominant and early hematogenic generalization. These tumors most oft en metastasize to the lungs.Materials and methods. The paper describes a case of successful surgical treatment for a giant retroperitoneal fibrosarcoma metastasis to the lung.Results. Successful treatment for sarcoma depends primarily on a global understanding by oncologists of the complex pathogenesis, histological forms and principles of comprehensive treatment for this complex, polymorphic group of malignant pathologies. The earlier the primary site is diagnosed, the sooner and more definitely the surgical treatment is performed, and the more correctly the drug therapy is carried out, the better the result of the complex treatment approach. Similarly, sarcoma secondary sites should be treated proactively – without waiting until their size and local spread contraindicate surgical treatment. Conclusion. Neglected sarcoma cases indicate the need for combined and extended surgical interventions, one successful example of which is described in this paper.
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