浅谈软组织肉瘤的误诊和误治.pdfVIP

. . 中国骨与关节杂志 2015 年 1 月第 4 卷第 1 期 Chinese Journal of Bone and Joint, January 2015, Vol 4, No.1 2 . 述评 Editorial . 浅谈软组织肉瘤的误诊和误治 杨蕴 DOI: 10.3969/j.issn.2095-252X.2015.01.002　　中图分类号：R738.6 作者单位：300060　天津医科大学肿瘤医院骨与软组织肿瘤科 Misdiagnostics and mistherapeutics of soft tissue sarcoma YANG Yun. Department of Orthopaedic Oncology, Cancer Hospital, Tianjin Medical University, Tianjin, 300060, PRC Abstract Soft tissue sarcoma ( STS ) refers to a category of malignancies with mesenchymal origin, they 【 】 might occur in all sites of human body but account for only 1% of all human cancers. With the development of modern techniques in diagnosis and treatment, as well as the emergence of new anti-sarcoma agents and the implication of multidisciplinary treatment, the prognosis of STS has been significantly improved. Most of STS patients are currently treated in specialized cancer centers with standardized treatment, while some are treated in orthopedic department or general surgery department of general hospitals, which might lead to misdiagnostics and mistherapeutics. The unplanned surgical treatment for STS is caused by inattention or ignorance of the importance of standard treatment. It has an incidence of 18%-59% from literatures and is very common in the country. Here addressed is a brief introduction of misdiagnostics and mistherapeutics of STS. The most important factor is how we can prevent an unplanned treatment. Key words Soft tissue neoplasms; Sarcoma; Diagnostic errors; Therapeutic errors 【 】 【关键词】　软组织肿瘤；肉瘤；误诊； 治疗失误 软组织 肉瘤 ( soft tissue sarcoma ，STS ) 是来源于间叶组织可发生于全身各部位的恶性肿瘤 ，发病率较 低 ，约 占全部 恶性肿瘤的 0.8% ～1.0% [1] 。近年来 ，随着 STS 诊 断技术的提 高、手术方法的改进 、新的抗肿 瘤药物的问世和新的联合化疗方案的应用，STS 的诊 治不断规 范 ，其预后 已经有 了明显的改善 。目前 ，国内 STS 患者一般是在肿瘤 医院专科接 受诊 治，但仍有部分患者是在综合 医院的骨科或普通外科接 受诊 治。由于 非肿瘤专科 医生与肿瘤专科 医生在诊 治上存在较大差异 ，因此在诊 治患者 中常 出现误