口腔颌面部肉瘤97例临床病理分析

目的：探讨口腔颌面部肉瘤的临床病理特点。方法：对97例颌面部肉瘤进行组织学观察,并对相关临床病理资料进行分析。结果：患者好发年龄为20～29岁,上、下颌骨最多见;组织学类型以骨肉瘤多见。结论：颌面部肉瘤病理类型多样,以成骨型骨肉瘤多见。放疗后肉瘤发生率高,且诊断和治疗难度加大,应予以重视;对于新类型肉瘤的诊断应以组织学改变为基础,辅以X线和免疫组织化学检查,以免漏诊和误诊。

Sarcoma of oral and maxillofacial region: A clinicopathology study of 97 cases

Objective： To study the clinicopathology of sarcoma in oral and maxillofacial region. Method： Clinical, histopathological features of 97 cases of sarcoma in oral and maxillofaeial region were studied. Result： Sarcoma mostly occurred in adults about 20-29 years old. The ratio of male to female was 1：1.11. Sarcoma was usually observed in maxilla and mandible. The most commonly histological type was osteosarcoma. Conclusion： Sarcoma in oral and maxillofacial region was varies, and mostly was osteohlastie osteosarcoma in histology. After radlotherapy,the sarcoma was easily occurred and the occurrence of sarcoma was high. We should pay attention to this situation because it was difficult to diagnosis and thera- py. In order to avoid diagnostic errors and leach, the diagnosis in the new type of sarcoma should be based on the histologi- cal feature and accessory examination by X rate and inmunohistochemistry. The firstly radical mastectomy was very important to the therapy of sarcoma.