头颈部血管外皮瘤15例
Fifteen Cases of Hemangiopericytoma in Head and Neck Region
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摘要: 目的:探讨头颈部血管外皮瘤的诊断及治疗。方法:回顾性分析了15例发生于头颈部的血管外皮瘤患者的临床资料,并复习相关文献。结果:15例患者中,男性10例,女性5例;年龄12~62岁。治疗行单纯手术或手术加放疗。手术加放疗组的5年生存率为80.0%,高于单纯手术组的75.0%,但二者无显著差异(P=0.724>0.05);前组的5年无复发生存率为60.0%,后组为29.6%,二者无显著差异(P=0.148>0.05)。结论:手术切除为其主要治疗手段,当手术不能获得充分的安全界时,加用放疗有一定的效果。Abstract: Objective: To evaluate the current diagnostic and therapeutic stratage of hemangioper-icytoma in head and neck region. Methods: 15 cases of hemangiopericytoma in head and neck region,including 10 male and 5 female were studied retrospectively and reviewed recent literatures. Results:15 patients underwent 2 different treatments. 10 patients were treated with radical resection alone (S) 5 were received additional postoperative radiotherapy (S+R) at a dose range 40-70Gy. The 5- year Ka-plan- Meier survival rate of S group was 75.0%, comparing with 80.0% of S+R group, the difference be-tween two groups showed no statistic significance(P=0.724). The 5-year recurrence free survival rate of S group was 29.6%, comparing with 60% of S+R group this difference also showed no statistic signifi-cance (P=0.148). Conclusion: Radical resection was the most efficient treatment for hemangiopericy-toma, post-operative radiotherapy could improve efficacy when the adequate margin couldn't beachieved by surgical resection.