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目的阐述原发性肝脏恶性间质瘤的临床病理特征,探讨其合理的诊治方案。方法回顾性研究1961-2003年经病理证实的17例原发性肝脏恶性间质瘤的诊治情况,并结合近期文献进行分析和探讨。结果10例行肝切除术,5例因肿瘤巨大无法切除仅行切取活检,2例未手术。结论原发性肝脏恶性间质瘤临床表现及影像学表现无特异性,诊断上主要靠病理确诊。应积极争取手术治疗,对无法切除者可行化疗、放疗等综合治疗措施。对肝脏淋巴瘤更应强调综合治疗。
Objective To describe the clinicopathological features of primary liver malignant stromal tumors and to explore its reasonable diagnosis and treatment plan. Methods The diagnosis and treatment of 17 cases of primary hepatic malignant stromal tumors confirmed by pathology from 1961 to 2003 were retrospectively studied, and analyzed and discussed with recent literatures. Results of 10 cases underwent hepatectomy, 5 cases due to huge tumor can not be removed only biopsy biopsy, 2 cases without surgery. Conclusion The clinical manifestations and imaging manifestations of primary liver malignant stromal tumors are nonspecific. The diagnosis mainly depends on the pathology. Should actively seek surgical treatment of unresectable feasible chemotherapy, radiotherapy and other comprehensive treatment measures. Liver lymphoma should be emphasized more comprehensive treatment.