肢体骨肉瘤引流区淋巴结转移

目的 了解肢体骨肉瘤患者的引流区淋巴结转移情况，分析其出现的原因及应采取的对策。方法 通过复习病历、手术记录和病理，回顾我院自１９８０年２月～１９９７年１０月肢体骨肉瘤患者的引流我淋巴结转移病程、化疗情况及当时所采取的措施。结果 ７２例患者中有７例出现引流区淋巴结转移，占９．７％，保肢手术引流区淋巴结转移５例，占９．４％（４／５３）。７例患者均未接受正规方案化疗，可能是导致淋巴结转移的重要原因。６

Osteosarcoma With Regional Lymphonode Metastasis

Objective To review cases of osteosarcoma with regional lymphatic metastasis, and analyze the reasons and the managements. Methods The history records of patients with osteosarcoma and regional lymphatic metastasis during 1980 to 1997 were reviewed. The course of illness, the operation notes and pathologic results, and the methods of chemotherapy were analysed retrospectively. Results Seven cases with regional lymphatic metastasis was found among 72 cases (9. 7% ), 5 cases with regional lymphatic metastasis after limb survival surgery was found (9. 4%, 5/53). All the 7 cases did not have adequate chemotherapy. Six cases died between half to two years after diagnosis of lymphonode metastasis. Conclusion Though the cases with lymphatic metastasis were few, yet appropriate attention should be paid to; lymphatic metastasis indicates late stage of the tumor lesion, giving a poor prognosis and radical lymphadenectomy should be done as soon as possible, following with an effective chemotherapy regime to strive for the best outcome.