手術(shù)方式對隆突性皮纖維肉瘤復(fù)發(fā)的影響.pdf

1、浙江大學(xué)醫(yī)學(xué)院碩士學(xué)位論文手術(shù)方式對隆突性皮纖維肉瘤復(fù)發(fā)的影響姓名：李忠朋申請學(xué)位級別：碩士專業(yè)：腫瘤學(xué)指導(dǎo)教師：黃建20100401EffectoflocalresectionuponrecurrenceofdermatofibrosarcomaprotuberansMedicalschoolofzhejianguniversityPostgraduatezhongpengliDirectorjianhuangAbstractOnco

2、logyObjective：Toinvestigatetheeffectsoflocaloperationsontherecurrenceofdermatofibrosarcomaprotuberans(DFSP)Methods：The37inpmiemswithDFSPwerecollectedduringtheperiodfrom1999，11to2009，11in2ndaffiliatedhospital，ZhejiangUniv

3、ersitySchoolofMedicineThepatientsweredividedintothelocaltumorexcisionandextensivetumorresectionbaSedon2cmasthestandardsurgicalmarginsAfterthefirstsurgicaltreatment，5caseslostfollowupand5casesrecommendedteceivelocalradiot

4、herapySurgicalmarginof2caseswasunclearTheremaining25caseshadfollow—upandsurgicalmarginrecordswithoutpostoperativeradiotherapyAll25easeswerefolloweduptoFeb2010。Result：Preoperativemisdiagnosiswascommon，whichledtohighertumo

5、rrecurrenceratebecauseofimproperoperationAmongthe25cases，15casesreceivedlocaltumorexcisionand10casesreceivedextensivetumorresection10casesdevelopedlocalrecurrenceafterlocaltumorresectionandonecasedevelopedlocal‘recurrenc

6、eafterextensiveresectionTumorrecurrenceratesbetweenthetwogroupswerestatisticallysignificant(P=OO1)Fortherecurrent11cases，9patientswerefollowedup，twopatientsofrecurrencelostaftertreatmentThereWas1specialpatientwhorelapsed