路奎元 文良元 孙长太 徐红兵 胡建华 王英民 张耀南 陆少磊 王小滨 100730 北京， 北京医院骨科 中华手外科杂志 1999 0 15 4


    关键词：巨细胞瘤；肿瘤；继发原发性；腱；诊断；临床方案 期刊 zhswkzz 0 肌腱外科 fur -->


    

【摘要】 目的 探讨手部恶性腱鞘巨细胞瘤的诊断和治疗。 方法 分析7例恶性腱鞘巨细胞瘤的发病过程及治疗结果。 其中3例曾作广泛切除术3次，每次术后均复发。 1例多次复发者作全手切除，4例作肿瘤切除及局部组织广泛切除。 结果 7例术后获得随访4 ～ 6 年，均未见复发及转移。 结论 对有明显复发倾向的恶性腱鞘巨细胞瘤应考虑作截肢手术。

Malignant giant cell tumor of tendon sheath in the hand: A report of 7 cases.

LU Kuiyuan, WEN Liangyuan, SHUN Changtai, et al. Department of Orthopedics, Beijing Hospital, Beijing 100730

【Abstract】 Objective To discuss the diagnosis and treatment of malignant giant cell tumor of tendon sheath in the hand. Methods The clinical manifestation and treatment outcome of 7 cases of malignant giant cell tumor of tendon sheath in the hand were reviewed. Wide excision of the tumor was performed 3 times in 3 cases, with recurrence each time postoperatively. The whole hand was finally excised in one of these cases. Excision of the tumor and wide excision of adjacent tissue were carried out in 4 cases. All cases were followed for 4 to 6 years. Results No recurrence or metastasis of the tumor was seen. Conclusions Amputation of the hand is indicated for malignant giant cell tumor of tendon sheath with obvious recurrence tendency.

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