骨原发性恶性纤维组织细胞瘤(附15例报告)

骨恶性纤维组织细胞瘤是一种罕见的肿瘤，其特点是兼有组织细胞性和纤维性成分．男性发病多于女性，无明显好发年龄，以中老年稍多．病损主要位于长骨骨端，约占全部病例的75％病程较长，疼痛和逐渐长大的肿块是较早出现的临床症状．X线表现为溶骨性病变．诊断时要与骨纤维肉瘤鉴别．单纯手术治疗效果不满意，应辅以化疗或放疗．早期病例可在有效化疗放疗控制下，行广泛病灶切除，保留肢体预后比骨肉瘤、骨纤维肉瘤好．

Primary Malignant Fibrous Histiocytoma of Bone (Report of 15 cases)

Primary malignant fibrous histiocytoma of bone was rare tumour, and consisted ofhistiocytic and fibrous elements. It was often found in the oledr men. The lesion was found in the end ofthe long bone 75% in all cases). The typical clinical symptoms were the pain and the increasing mass,and asteolytic lesion was presented in the X-rays. It should be identified with giant cell tumour of bone(osteosarcoma), The result showed that the effect of operation were not satisfactory and should bechemotheraPy and radiotherapy companied. This report suggested that wide lesion dissection would havebetter prognosis than the other treatment controled by the effective chemotherapy at eatly.