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目的探讨丛状纤维组织细胞瘤临床表现、病理特点、治疗方法及预后。方法回顾性分析中国人民解放军总医院2000年至2015年收治的3例丛状纤维组织细胞患者病历资料并复习文献。结果 3例患者经手术治疗,2例患者经常规扩大切除现无复发,1例患者首次治疗未按恶性肿瘤行扩大切除术,术后复发,3例均无远处转移。结论丛状纤维组织细胞瘤是一种罕见肿瘤,临床及病理诊断均易误诊,虽属低度恶性肿瘤,手术治疗仍需按常规恶性肿瘤原则切除,否则也有复发可能。
Objective To investigate the clinical manifestations, pathological features, treatment and prognosis of plexiform fibrous histiocytoma. Methods The clinical data of 3 cases of plexiform fibroblasts admitted from 2000 to 2015 in Chinese PLA General Hospital were reviewed retrospectively. Results Three patients were surgically treated. Two patients were routinely expanded and resected without recurrence. One patient underwent initial resection without malignancy, and had recurrence after operation. None of the three patients had distant metastasis. Conclusion Plexiform fibrous histiocytoma is a rare tumor which is easy to be misdiagnosed in both clinical and pathological diagnosis. Although it is a low-grade malignant tumor, surgical resection still needs to be performed according to the principle of conventional malignant tumor, otherwise it may recur.