颌骨恶性纤维组织细胞瘤3例报告

Yumi Mochizuki , Ken Omura , Hiroyuki Harada , Kou Kayamori , Norihiko Okada , Akira Yamaguchi
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引用次数: 1

摘要

颌骨恶性纤维组织细胞瘤(MFH)侵袭邻近组织,局部复发率高。虽然有足够的无肿瘤边缘的根治性切除是必要的,但从解剖学的角度来看,头颈部的广泛切除通常是困难的。我们报告了3例发生在颌骨的MFH。3例患者均为男性,年龄36-51岁。一种疾病发生在下颌骨,另一种发生在上颌骨。所有病例均行局部大范围切除,并辅以异环磷酰胺(IFO)、顺铂(CDDP)和阿霉素(DOX)组成的2周期辅助化疗。2例患者随访78个月和70个月均未发生肿瘤复发和转移。1例患者随访2个月后因肿瘤复发死亡。手术和辅助化疗联合治疗颌骨MFH的效果将通过进一步的随访来评估。
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Malignant fibrous histiocytoma of the jaws: A report of 3 cases

Malignant fibrous histiocytoma (MFH) of the jaws aggressively invades adjacent tissues with a high local recurrence rate. Although radical excision with adequate tumor-free margins is essential, from the anatomical point of view wide resection is often difficult in the head and neck region. We reported 3 cases of MFH arising in the jaws. All three cases were males with 36–51 years old. One disease occurred in the mandible and the others in the maxilla. All cases underwent wide local excision and followed by adjuvant chemotherapy of 2 cycles consisting ifosfamide (IFO), cisplatin (CDDP) and doxorubicin (DOX). In 2 cases, neither tumor recurrence nor metastasis developed at follow-up of 78 months and 70 months. In one case, the patient died from tumor recurrence at follow-up of 2 months. The effects of combined treatment with surgery and adjuvant chemotherapy for MFH of jaws will be assessed by further follow-up.

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