Evonne Z Younan, Kilian G M Brown, David J Coker, Lylee Ye, Kirk K S Austin, Peter J Lee, Chris Byrne, Michael J Solomon
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引用次数: 0
Abstract
Solitary fibrous tumours (SFTs) are rare soft-tissue neoplasms with variable metastatic potential and a tendency to exhibit more aggressive behaviour in the pelvis. This study evaluated the outcomes of pelvic SFT resections using a marginal resection approach at a specialist sarcoma and pelvic oncology centre. Eighteen patients underwent resection of pelvic SFTs between 1994 and 2025. Fifteen (83%) cases required resection of adjacent pelvic structures, of which three (17%) patients underwent total pelvic exenteration to achieve complete resection or to facilitate surgical access. Clear (R0) margins were achieved in 69% of cases, although most were ≤ 1 mm (IQR: 0.30-4.75). Major complications occurred in two patients (11%), and there was no inpatient or 30-day mortality. After a median follow-up of 42 months, 14 of 15 surviving patients were disease-free and only 2 patients experienced recurrence. These findings suggest that pelvic SFTs may be safely resected with low recurrence using a marginal resection approach.
孤立性纤维性肿瘤(SFTs)是一种罕见的软组织肿瘤,具有不同的转移潜力,并倾向于在骨盆中表现出更具侵略性的行为。本研究评估了在专科肉瘤和盆腔肿瘤中心采用边缘切除方法进行盆腔SFT切除术的结果。1994年至2025年间,18例患者接受了盆腔SFTs切除术。15例(83%)患者需要切除邻近盆腔结构,其中3例(17%)患者接受全盆腔切除以实现完全切除或方便手术进入。69%的病例边缘清晰(R0),尽管大多数≤1 mm (IQR: 0.30-4.75)。2例患者(11%)出现主要并发症,无住院或30天死亡。中位随访42个月后,15例存活患者中有14例无病,仅有2例复发。这些结果表明盆腔SFTs可以采用边缘切除方法安全、低复发率切除。
期刊介绍:
The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.