[皮肤和皮下原发性亮肌肉瘤:26例临床数据和治疗方法的回顾性队列]。

IF 0.4 4区 医学 Q4 SURGERY
C Roy, L-R Le Nail, G De Pinieux, R Samargandi
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引用次数: 0

摘要

背景:浅表良性肉瘤是一种罕见的由平滑肌细胞引起的恶性软组织肿瘤,占浅表肉瘤的 2-3%,相关文献有限。它通常发生在 50-60 岁的患者身上,在皮下亚型中,男性和女性的发病率相同,而在皮肤亚型中,男性患者居多:本研究旨在探讨白肌瘤患者的临床病理特征和治疗效果:方法:这是一项描述性回顾性研究,研究对象为26例经组织学证实的皮肤和皮下良性肌瘤:我们发现了 10 例(38.5%)皮下和 16 例(61.5%)皮肤良性肌瘤。大多数肿瘤位于下肢,占13例(50%)。随访期间,6 名患者复发,7 名患者出现转移,包括 7 名切除边缘为 R0 的患者中的 2 名。其中,6例复发病例中的3例和7例转移病例中的3例均为皮下良性肉瘤。平均复发时间为 6.2 年:结论:尽管手术切缘清晰,但观察到皮肤和皮下良性肌瘤均有转移和复发的风险,而且这些事件的发生时间较晚,因此有理由对患者进行长期随访。肺、骨骼和肝脏已被确定为最常见的转移部位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Cutaneous and subcutaneous primary leiomyosarcoma: A retrospective cohort of 26 cases examining clinical data and treatments].

Background: Superficial leiomyosarcoma is a rare malignant soft tissue tumor arising from smooth muscle cells, accounting for 2-3% of superficial sarcomas, with limited literature available on the subject. It is typically observed in patients aged 50-60 years and affects both men and women equally in the subcutaneous subtype, whereas the cutaneous subtype predominantly affects men.

Objective: This study aims to examine the clinicopathological features and therapeutic outcomes of patients with leiomyosarcoma.

Method: This is a descriptive retrospective study of 26 cases of cutaneous and subcutaneous leiomyosarcomas, with histological confirmation.

Results: We identified 10 (38.5%) subcutaneous leiomyosarcomas and 16 (61.5%) cutaneous leiomyosarcomas. The majority of tumors were located in the lower limbs, accounting for 13 (50%) cases. During follow-up, 6 patients experienced recurrence, and 7 developed metastases, including 2 of the 7 patients who had R0 resection margins. Among these, 3 out of the 6 recurrent cases and 3 out of the 7 metastatic cases were subcutaneous leiomyosarcomas. The average time to recurrence was 6.2 years.

Conclusion: The observed risk of metastases and recurrences, despite clear surgical margins, in both cutaneous and subcutaneous leiomyosarcomas, along with the delayed onset of these events, justifies prolonged patient follow-up. The lungs, bones and liver have been identified as the most common site of metastasis.

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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
86
审稿时长
44 days
期刊介绍: Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés. Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction. Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.
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