中国麻风皮肤病杂志 ›› 2020, Vol. 36 ›› Issue (2): 83-86.doi: 10.12144/zgmfskin202002083

• 论著 • 上一篇    下一篇

局部扩大切除术治疗隆突性皮肤纤维肉瘤43例临床分析

洪安澜,曹蒙,王焱,乐张慧,张倩,布文博,黄莉明,王丽丽,王强,赵亮,方方   

  1. 中国医学科学院北京协和医学院皮肤病医院皮肤外科，江苏南京，210042
  • 出版日期:2020-02-15 发布日期:2020-03-18
  • 通讯作者: 王焱，E-mail：drwangyan@163.com；方方，E-mail：fangfangjh@126.com

Clinical analysis of 43 cases of dermatofibrosarcoma protuberans treated with wide local excision

HONG Anlan, CAO Meng, WANG Yan, YUE Zhanghui, ZHANG Qian, BU Wenbo, HUANG Liming, WANG Lili, WANG Qiang, ZHAO Liang, FANG Fang   

  1. Department of Dermatologic Surgery, Hospital for Skin Diseases (Institute of Dermatology), Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China
  • Online:2020-02-15 Published:2020-03-18
  • Contact: WANG Yan, E-mail: drwangyan@163.com; FANG Fang, E-mail: fangfangjh@126.com

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摘要： 对我院43例隆突性皮肤纤维肉瘤(dermatofibrosarcoma protuberance, DFSP)临床病理资料进行回顾性分析。43例患者中，男18例，女25例；发病前有肿瘤家族史者2例,有局部外伤史者5例，无明显诱因者36例；皮损表现为肿块40例，斑片1例，表皮萎缩1例，瘢痕样增生1例。组织病理示40例为经典型DFSP，2例为萎缩型，1例为黏液型。39例沿皮损边界扩切2~4 cm，其中随访28例（1例复发）；3例扩切＜2 cm，2例失访，1例转移；1例扩切＞4 cm，失访。

关键词: 隆突性皮肤纤维肉瘤, 局部扩大切除术

Abstract: The clinic data of 43 patients (18 males and 25 females) with dermatofibrosarcoma protuberance (DFSP) was analyzed retrospectively. Of the 43 patients, 2 had a family tumor history, 5 had a history of injury, and 35 had no obvious predisposing cause. The lesions were manifested as tumor in 40 patients, patch in 1, epidermal atrophy in 1 and cicatricial hyperplasia in 1. Biopsy showed typical DFSP in 40 patients, atrophic type in 2 and mucus type in one. The removal range of the lesions were extend for 2-4 cm in 39 patients, Out of these patients, 28 were followed-up and one was recurrent. The removal range of the lesions were extend for less than 2 cm in 3 patients, among them one was recurrent and two were lost to follow-up. One patient with more than 4 cm removal range was lost to follow up.

Key words: dermatofibrosarcoma protuberance, wide local excision