平滑肌肉瘤的临床病例分析

摘要

目的：探讨平滑肌肉瘤（ leiomyosarcoma）的临床表现，以便为临床诊断提供参考。方法：回顾性分析我院2004年11月～2014年11月期间，42例确诊为平滑肌肉瘤患者的临床表现、检测指标等。结果：40例初发，2例复发。具体如下：骨、子宫、消化道、腹膜后分别为19、8、4、8例，膀胱、肠系膜、大网膜各1例；男：女、朝：汉之比分别为4：7、7：4。手术切除30例，其中7例辅以放化疗，单纯化疗1例，单纯放疗1例，10例未行系统治疗。结论：平滑肌肉瘤是少见的成人软组织恶性肿瘤，临床表现不典型，常以肿块就诊。术前诊断较困难，术后病理学检查为确诊手段。病灶切除加扩大根治术是目前主要治疗措施，术后可辅以放化疗。%Objectives:To detect the clinical manifestations of leiomyosarcoma, in order to provide reference for clinical diagnosis. Methods:To master their clinical manifestation and detection etc,42 cases confirmed leiomyosarcoma were retrospectively studied at our hospital from November 2004 to November 2014 .Results:The clinical data includes 40 cases of incipence,2 cases of recurrence.As fol-lows gone 19,uterus 8,digestive tract 4,retroperitoneal 8.Bladder,mesentery and greater omentum have each one case.The ratio of the male:female and chao:han are 4:7,7:4 respectively.There are 30 cases carried out by surgical removal, of which 7 cases are with the help of radiation and chemotherapy,1 case is simple radiotherapy.,10 cases with no treatment.Conclusion:Leiomyosarcoma is a rare a-dult soft tissue tumor, clinical manifestation is not typical, often with lump.Preoperative diagnosis is difficult, postoperative pathology ex-amination is helpful to diagnose.The main treatment measure is lesion resection with extended radical treatment is, and can be supplemen-ted by radiation and chemotherapy after surgery.