【摘要】 为探讨脂肪肉瘤的病理类型与临床疗效的关系，作者分析了１９７６年１０月～１９９５年１２月手术治疗的２１例脂肪肉瘤病例。男１５例，女６例，年龄６～７９岁，平均４９．９岁。其中分化型１３例、粘液型４例、去分化型４例。平均随访８．９年。５年、１０年生存率均为９４％，５年、１０年的未复发率分别是７２％和５２％。作者认为，脂肪肉瘤作为软组织恶性肿瘤中常见的一种，生存率与肿瘤的病理类型、部位、大小有关；发生在四肢的分化型、粘液型治疗效果较好，发生在后腹膜的治疗效果差，肿瘤小治疗效果好；广泛切除术是治疗脂肪肉瘤的有效方法。更多还原

【Abstract】 To study the pathological type of liposarcoma and it effects of clinical treatment, reviewed 21 cases of liposarcoma.Since Oct.1976 to Dec.1995,21 cases of liposarcoma were treated by operation.15 cases were male and 6 cases female.The onset of the disease occurred between 6￣79 years of age with an average of 49.9 years. 13 cases were well differentiated,4 Myxoid,4 cases of andifferentiaed.All cases were followed up with an average of 8 9 years.The 5 , 10 year survival rate was 94%,the 5 ,10 year unrecurernce rate was 72% and 52%. Among the malignant soft tissue tumors liposarcoma,was most common. The survival rate was related to the pathological type, the site and the size. Good clinical results were well differentiated and myxoid.The poor was retroperitoneal liposarcoma.The smaller the tumor,the better the result.For the treatment,wide margin excision is a good method of choice.更多还原