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目的:探讨隆突性皮肤纤维肉瘤的临床病理特点及预后。方法:回顾性分析高淳县人民医院2004/2009年经病理确诊的37例隆突性皮肤纤维肉瘤。结果:隆突性皮肤纤维肉瘤好发于年轻人,好发病变部位为躯干和四肢,临床表现真皮内缓慢生长的无痛性结节,组织学上以形态单一的梭形瘤细胞排列呈席纹状为特征,部分肿瘤有黏液变性及纤维肉瘤变,手术不易彻底切净是其易复发的主要原因。结论:手术医师应提高对隆突性皮肤纤维肉瘤的警惕性,有条件者应对可疑病变行术中冰冻切片检查。
Objective: To investigate the clinicopathological features and prognosis of dermatofibrosarcoma. Methods: A retrospective analysis of Gaochun People ’s Hospital in 2004/2009 pathologically confirmed 37 cases of protuberant cutaneous fibrosarcoma. Results: Dermatofibroma sarcoma occurred in young people, the lesions were prone to trunk and limbs, the clinical manifestations of slow growth in the dermis of painless nodules, histological appearance of a single spindle cells arranged in rows of seats Striped features, some of the tumor mucinous degeneration and fibrosarcoma, surgery is not easy to completely cut net is its main reason for relapse. CONCLUSIONS: Operators should be more vigilant about idiopathic cutaneous fibrosarcoma, and those who are in a condition to respond to suspicious lesions should undergo intraoperative frozen section examination.