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目的 :分析弥漫性腱鞘巨细胞瘤 (D TGCT )的诊断及治疗。方法 :对 1例罕见的伴腹膜后巨大肿块的D TGCT进行临床特征研究 ,并复习了近几年国内外文献。结果 :复习文献共 3例伴腹膜后巨大肿块的D TGCT。肿瘤范围广泛 ,自腹股沟延伸至腹膜后形成巨大肿块 ,并伴有髋臼、股骨头骨质的破坏。治疗可行肿瘤切除术及人工关节置换术。结论 :D TGCT缺乏清楚的边界 ,呈浸润性生长 ,临床诊断困难 ,应与滑膜肉瘤、炎症性恶性纤维组织细胞瘤和恶性腱鞘巨细胞瘤等鉴别。
Objective: To analyze the diagnosis and treatment of diffuse tendon sheath giant cell tumor (D TGCT). Methods: The clinical features of D TGCT in a rare case of retroperitoneal mass were studied and reviewed in recent years. Results: A total of 3 literature reviewed D TGCT with a large retroperitoneal mass. A wide range of tumors, extending from the groin to the formation of a huge retroperitoneal mass, and accompanied by acetabulum, femoral head bone destruction. Treatment feasible tumor resection and artificial joint replacement. Conclusion: D TGCT lacks a clear boundary and presents invasive growth. It is difficult to be diagnosed clinically and should be differentiated from synovial sarcoma, inflammatory malignant fibrous histiocytoma and giant cell tumor of malignant.