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目的 :提高临床对头颈部横纹肌肉瘤 (RMS)的诊疗水平。方法 :报告经病理确诊的 8例头颈部 RMS的临床资料。 8例均经手术治疗 ,其中手术加放疗 5例 ,加化疗 1例。结果 :7例获随访 ,3例分别于术后 4个月、16个月、2年死亡 ,4例生存≥ 5年。结论 :对发生在耳鼻咽喉 -头颈部的无痛性或痛性肿块 ,应注意 RMS的可能。根据影像学检查、病理活检及免疫组化标志等确诊 ;采用手术加化疗或放疗 ,可以提高 RMS患者的生存率。
Objective: To improve the clinical diagnosis and treatment of rhabdomyosarcoma (RMS) in head and neck. Methods: The clinical data of 8 cases of head and neck RMS diagnosed by pathology were reported. All 8 cases were treated by surgery, including surgery and radiotherapy in 5 cases, plus chemotherapy in 1 case. Results: 7 cases were followed up, 3 cases died at 4 months, 16 months and 2 years after operation, 4 cases survived 5 years. Conclusions: For painless or painful masses in the otorhinolaryngology-head and neck, attention should be paid to the possibility of RMS. According to imaging examination, pathological biopsy and immunohistochemical markers, etc., the use of surgery plus chemotherapy or radiotherapy can improve the survival rate of RMS patients.