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目的 总结下颌骨恶性纤维组织细胞瘤的诊治体会。方法 5例患者中 1例行下颌骨部分切除术后复发 ,再行颌颈联合根治术。 4例行颌颈联合根治术 ,术后配合放疗治疗。结果 2例术后 1年局部复发 ,1例术后 1 5年局部复发 ,1例术后 9个月死于肺转移 ,1例随访 3年未见复发和转移。结论 下颌骨恶性纤维组织细胞瘤无特征性临床表现 ,手术治疗是有效的方法 ,并尽可能施行根治性切除 ,但预后较差
Objective To summarize the diagnosis and treatment of mandibular malignant fibrous histiocytoma. Methods A total of 5 patients underwent partial maxillofacial resection and then underwent combined radical mastectomy and maxillofacial surgery. 4 cases of combined radical mastectomy, combined with radiotherapy after operation. Results Two patients had local recurrence one year after surgery, one had local recurrence 15 years after operation, one died of lung metastasis 9 months after operation, and none had recurrence and metastasis 3 years after follow - up. CONCLUSIONS: Malignant fibrous histiocytoma of the mandible has no characteristic clinical manifestations. Surgical treatment is an effective method and radical resection is performed as far as possible, but the prognosis is poor