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74例隆突型皮肤纤维肉瘤的治疗与预后分析
引用本文:王修身,刘孟忠,刘慧.74例隆突型皮肤纤维肉瘤的治疗与预后分析[J].中德临床肿瘤学杂志,2006,5(6):454-457.
作者姓名:王修身  刘孟忠  刘慧
作者单位:[1]Department of Radiotherapy, Cancer Hospital of Henan Province, Zhengzhou 450008, China [2]Department of Radiotherapy, Cancer Hospital, Sun Yat-sen University, Guangzhou 510060, China
摘    要:Objective: To study treatment and prognostic factor in 74 patients with dermatofibrosarcoma protuberans. Methods: From August 1990 to November 1999, 74 patients with dermatofibrosarcoma protuberans (DFSP) confirmed by pathology were treated in Cancer Hospital of Sun Yat-sen University. 72 cases were given wide excision and 2 cases were given local excision. All of 74 cases, 52 cases had surgical resection alone, and 22 cases had surgical resection combined with radiotherapy. Total dose of radiotherapy was 50-70 Gy. Results: The rate of recurrence was 36.1% for all patients. The 5-year recurrence-free survival (RFS) rate was 66%. The 5-year recurrence-free survival rates for resection alone and combined with radiotherapy were 58% and 90%, respectively (P=-0.0187). The 5-year recurrence-free survival rates for positive microscopic margins and negative microscopic margins were 57% and 75%, respectively (P=0.0468). Conclusion: Post-operation radiotherapy is an effective treatment to decrease the recurrence rate for the patients with positive microscope, or the patients without suitable surgical treatment.

关 键 词:放射治疗法  病理学  DFSP  肿瘤学
收稿时间:2006-09-02
修稿时间:2006-11-15

The role of radiotherapy in 74 patients with dermatofibrosarcoma protuberans
Xiushen Wang,Mengzhong Liu,Hui Liu,Nianji Cui.The role of radiotherapy in 74 patients with dermatofibrosarcoma protuberans[J].The Chinese-German Journal of Clinical Oncology,2006,5(6):454-457.
Authors:Xiushen Wang  Mengzhong Liu  Hui Liu  Nianji Cui
Institution:(1) Department of Radiotherapy, Cancer Hospital of Henan Province, Zhengzhou, 450008, China;(2) Department of Radiotherapy, Cancer Hospital, Sun Yat-sen University, Guangzhou, 510060, China
Abstract:Objective:To study treatment and prognostic factor in 74 patients with dermatofibrosarcoma protuberans.Meth-ods:From August 1990 to November 1999,74 patients with dermatofibrosarcoma protuberans(DFSP)confirmed by pathology were treated in Cancer Hospital of Sun Yat-sen University.72 cases were given wide excision and 2 cases were given local exci-sion.All of 74 cases,52 cases had surgical resection alone,and 22 cases had surgical resection combined with radiotherapy.Total dose of radiotherapy was 50-70 Gy.Results:The rate of recurrence was 36.1% for all patients.The 5-year recurrence-free survival(RFS)rate was 66%.The 5-year recurrence-free survival rates for resection alone and combined with radiotherapy were 58% and 90%,respectively(P=0.0187).The 5-year recurrence-free survival rates for positive microscopic margins and negative microscopic margins were 57% and 75%,respectively(P=0.0468).Conclusion:Post-operation radiotherapy is an effective treatment to decrease the recurrence rate for the patients with positive microscope,or the patients without suitable surgical treatment.
Keywords:dermatofibrosarcoma protuberans (DFSP)  radiotherapy  wide excision
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