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目的:探讨恶性血管肿瘤的诊断及治疗。方法:统计分析我院病理诊断比较少见和属多学科的恶性血管肿瘤59 例。结果:其中血管外皮(肉)瘤20 例,血管平滑肌肉瘤27 例和血管肉瘤及其它肉瘤12 例。发生肢体21 例,头颈和躯干体表16 例,口鼻、腹腔和泌尿系统等23 例。所有病例均被误诊,有15 例误诊为其它恶性肿瘤。复发1~4 次者19 例。除1 例仅作活检外,其余病例均手术治疗。结论:恶性血管肿瘤主要靠病理诊断;手术是主要治疗手段;放射治疗对预防复发有重要作用,并可做为切除不彻底或切除后复发的首选治疗
Objective: To investigate the diagnosis and treatment of malignant vascular tumors. Methods: Statistical analysis of 59 cases of malignant vascular tumors in our hospital was rare and multidisciplinary. RESULTS: Among them, 20 were vascular (meat) tumors, 27 were leiomyosarcoma, and 12 were angiosarcoma and other sarcomas. There were 21 cases of limbs, 16 cases of head and neck and body surface, and 23 cases of oral, nasal, abdominal, and urinary system. All cases were misdiagnosed and 15 were misdiagnosed as other malignant tumors. 19 cases of recurrence 1 to 4 times. Except for only one biopsy, all other cases were treated with surgery. Conclusion: Malignant vascular tumors mainly rely on pathological diagnosis; Surgery is the main treatment; Radiation therapy plays an important role in preventing recurrence and can be used as the first choice for incomplete resection or recurrence after resection.