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目的:探讨口腔颌面部肉瘤的临床病理特点。方法:对97例颌面部肉瘤进行组织学观察,并对相关临床病理资料进行分析。结果:患者好发年龄为20～29岁,上、下颌骨最多见;组织学类型以骨肉瘤多见。结论:颌面部肉瘤病理类型多样,以成骨型骨肉瘤多见。放疗后肉瘤发生率高,且诊断和治疗难度加大,应予以重视;对于新类型肉瘤的诊断应以组织学改变为基础,辅以X线和免疫组织化学检查,以免漏诊和误诊。
Objective: To investigate the clinicopathological features of oral and maxillofacial sarcoma. Methods: A total of 97 cases of maxillofacial sarcoma were observed histologically and the related clinicopathological data were analyzed. Results: The incidence of patients was 20 ~ 29 years old, the most common on the mandible; histological types of osteosarcoma more common. Conclusion: There are many pathological types of maxillofacial sarcoma, which are more common in osteosarcoma. The high incidence of sarcoma after radiotherapy, and the diagnosis and treatment more difficult, should be taken seriously; for the diagnosis of new types of sarcoma should be based on histological changes, supplemented by X-ray and immunohistochemistry to avoid misdiagnosis and misdiagnosis.