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肩胛带恶性肿瘤,包括锁骨、肩胛骨、肱骨上端及其附丽的软组织恶性肿瘤。该部位肿瘤如作上肢的1/4截肢术,则牺牲正常的肘关节、前臂和手部。现今,对于肩胛带恶性肿瘤的保肢手术已越来越受重视,有逐步取代截肢的趋势。1 资料与方法1.1 一般资料 本组10例。男性6例、女性4例。年龄在15～58岁。肱骨上端7例、肩胛骨1例、三角肌2例。骨肉瘤3例、软骨肉瘤3例、纤维肉瘤2例、三角肌的横纹肌肉瘤及腺泡状肉瘤各1例。骨肿瘤按Enneking的外科分期本组8例均为ⅡB期,2例软组织肿瘤按Lawrenee的TNMG分期为ⅢB期。
Scapular with malignant tumors, including clavicle, scapula, upper humerus and its accompanying soft tissue malignancy. The site of the tumor as 1/4 amputation of the upper limb, at the expense of the normal elbow joint, forearm and hand. Nowadays, limb salvage surgery for malignant tumors of the scapular area has become more and more important, and there is a gradual replacement of amputation. 1 Materials and Methods 1.1 General Information 10 cases in this group. There were 6 males and 4 females. Age 15 to 58 years old. There were 7 cases of upper humerus, 1 case of scapula and 2 cases of deltoid muscle. There were 3 cases of osteosarcoma, 3 cases of chondrosarcoma, 2 cases of fibrosarcoma, 1 case of rhabdomyosarcoma and 1 case of acinar sarcoma. According to Enneking’s surgical staging, 8 cases of Bone neoplasms were of stage IIB, and 2 cases of soft tissue tumors were stage IIIB according to the TNMG stage of Lawrenee.