头颈部横纹肌肉瘤8例报告

目的 :提高临床对头颈部横纹肌肉瘤 (RMS)的诊疗水平。方法 :报告经病理确诊的 8例头颈部 RMS的临床资料。 8例均经手术治疗 ,其中手术加放疗 5例 ,加化疗 1例。结果 :7例获随访 ,3例分别于术后 4个月、16个月、2年死亡 ,4例生存≥ 5年。结论 :对发生在耳鼻咽喉 -头颈部的无痛性或痛性肿块 ,应注意 RMS的可能。根据影像学检查、病理活检及免疫组化标志等确诊 ;采用手术加化疗或放疗 ,可以提高 RMS患者的生存率。

Eight cases of rhabdomyosarcoma in head and neck

Objective:To improve the clinical diagnosis and treatment level of rhabdomyosarcoma in head and neck.Method:It was based on the documents that 8 cases of rhabdomyosarcoma in head and neck had been diagnosed by pathological diagnosis.Result:The 8 cases were treated by operation.Among 8 patients,5 took radiotherapy after operation.1 took chemotherapy after operation.We kept in touch with 7 patients,the survival rate of 5 years was 57.1 %(4/7).Conclusion:We must pay attention to the painful or painless phyma in the otolaryngology and head and neck.It has the possibility of being rhabdomyosarcoma.We diagnose the rhabdomyosarcoma through biopsy and immuohistochemistry and with the references from the examination of CT,MR.In order to improve the survival rate of patients of rhabdomyosarcoma,we should use the comprehensive treatment,including operation,radiotherapy,and chemotherapy.