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目的 探讨复发性隆突性皮肤纤维肉瘤的临床特点、治疗及预后情况。方法 对我院 1989年 1月～ 1996年 12月共收治的复发性隆突性皮肤纤维肉瘤 3 6例的临床资料进行回顾性分析。 3 4例进行距肿物边缘至少 3 cm的扩大切除术 ,其中加翻转皮瓣者 16例 ,2例行局部切除术加术后补充放疗。结果 全组除一例局部复发并双肺广泛转移外 ,均未见复发。结论 隆突性皮肤纤维肉瘤是发生于皮肤真皮的低度恶性软组织肿瘤 ,治疗不当极易复发 ,若切除彻底预后良好
Objective To investigate the clinical features, treatment and prognosis of recurrent dermatofibrosarcoma. Methods A retrospective analysis of the clinical data of 36 patients with recurrent dermatofibrosarcoma that had been treated in our hospital from January 1989 to December 1996 was performed. Thirty-four patients underwent extended resection at least 3 cm from the edge of the tumor, including 16 with flip flaps, and 2 with local resection plus postoperative radiotherapy. Results No recurrence was found in the whole group except one case of local recurrence and extensive metastasis in both lungs. Conclusion Protrusive skin fibrosarcoma is a low-grade malignant soft tissue tumor that occurs in the dermis of the skin. If it is not treated properly, it can easily recur. If the resection is complete, the prognosis is good.