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目的:探讨髂窝肿瘤误诊深静脉血栓的原因及诊断、治疗方法。方法:报道3例髂窝肿瘤误诊深静脉血栓,1例神经纤维瘤行肿瘤完整切除,1例黏液性脂肪肉瘤和1例中分化鳞癌先行动脉插管介入化疗,化疗3疗程后行手术切除。结果:化疗后肿瘤缩小,血供减少,边界清楚,行肿瘤切除术。随访3~7个月无复发及远处转移。结论:髂窝肿瘤临床表现不典型,应加强对本病的认识。良性肿瘤治疗首选手术切除,恶性肿瘤应先行介入化疗,再行手术治疗。
Objective: To investigate the causes, diagnosis and treatment of misdiagnosis of deep venous thrombosis in axillary tumors. METHODS: Three cases of axillary tumors were misdiagnosed as deep venous thrombosis, one case of neurofibromas was treated with complete tumor resection, one case of mucinous liposarcoma, and one case of moderately differentiated squamous carcinoma were treated with arterial intubation prior to interventional chemotherapy. Three courses of chemotherapy were followed by surgical resection. . RESULTS: After chemotherapy, the tumor was reduced, blood supply was reduced, the boundary was clear, and tumor resection was performed. Follow-up 3 to 7 months without recurrence and distant metastasis. Conclusion: The clinical manifestations of axillary tumors are not typical, and the understanding of this disease should be strengthened. The preferred surgical treatment for benign tumors is surgical resection. Malignant tumors should be treated with interventional chemotherapy before surgery.