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头皮血管内皮细胞瘤一例报告及文献复习
Case report of scalp hemangioendothelioma and literature review
【摘要】 为了探讨头皮血管内皮细胞瘤的发病机制及综合治疗,分析1例头皮血管内皮细胞瘤患者的临床表现及治疗并回顾分析相关文献。患者接受了病变扩大切除手术治疗,术后给予放化疗。3个月后局部复发,14个月后死于肺转移。复习82例头皮血管内皮细胞瘤患者临床资料,75.6%的患者进行了手术治疗,其中48.8%的患者进行了术后化疗/放疗,26.8%的患者只进行了手术切除。初步研究结果提示,头皮血管内皮细胞瘤是一种少见的、具有侵袭性生长的恶性病变,其最适治疗方法为手术切除加广泛的放疗,但局部复发及远处再发的可能性较高。化疗可能起到短期缓解的作用。
【Abstract】 The objective of this study was to detect the pathogenesis and combined modality therapy of scalp hemangioendothelioma.The clinical manifestation and therapy course of a male patient presented with scalp hemangioendothelioma was analyzed.Then the current related literatures were retrospectivly analyzed.The patient accepted spread surgical resection together with radiotherapy and chemotherapy.But local recurrence 3 months later and died of lung metastasis 14 months later.Totally 82 cases were reported on hemangioendothelioma of scalp.Most patients were treated with surgery(75.6%),totally 48.8% received surgical resection with chemotherapy/radiotherapy,26.8% patients received surgical resection only.In conclusion,scalp hemangioendothioma is a rare malignant disease with invasive growth.The best therapeutic method is surgical resection together with spread radiotherapy.However,the probability of local recurrence and distant relapse is high.Chemotherapy maybe have temporany relief funtion.
【Key words】 skin neoplasms; hemangioendothelioma; case reports; surgical procedures,operative; radiotherapy;
- 【文献出处】 中华肿瘤防治杂志 ,Chinese Journal of Cancer Prevention and Treatment , 编辑部邮箱 ,2011年03期
- 【分类号】R739.5
- 【下载频次】130