惡性周圍神經(jīng)鞘膜瘤。。病例分享惡性周圍神經(jīng)鞘膜瘤。。1惡性周圍神經(jīng)鞘膜瘤杜××,女,35歲因“左頸部神經(jīng)鞘膜瘤術(shù)后2年肺轉(zhuǎn)移11月”入院。2019-3-8行左頸部神經(jīng)鞘膜瘤手術(shù)術(shù)后病理:(左頸部)軟組織肉瘤伴壞死,結(jié)合免疫組化,符合惡性周圍神經(jīng)膜瘤。術(shù)后放療2019-4-12省腫瘤醫(yī)院病理示:(右肺腫塊左肩部可及一大小約13×8cm腫塊,穿刺)少量肺及纖維組織內(nèi)見少量軟組織肉質(zhì)硬,邊界尚清,活動度差,無壓痛瘤浸潤,并伴退變、壞死?；?次(異環(huán)磷酰胺2d1-3+美司納400mgd3+鹽酸比柔表星ruvefeng1008/26惡性周圍神經(jīng)鞘膜瘤2惡性周圍神經(jīng)鞘膜瘤×,男,12身高124cm胸背部可見多個大小不一、散在的咖啡色斑塊頸部及胸肋部可觸及多個纖維瘤,質(zhì)軟,活動度可患者兒子ruvefeng1008/26惡性周圍神經(jīng)鞘膜瘤3惡性周圍神經(jīng)鞘膜瘤要內(nèi)容概述24s流行病學臨床表現(xiàn)診斷與治療研究進展ruvefeng1008/26惡性周圍神經(jīng)鞘膜瘤4NationalNCCNComprehensiveNCCNGuidelinesTMVersion2.2019StagingSoftTissueSarcomaSoftTissueSarDeTable1.ContinuedTumorsincludedinthesofttissuecategoryarelistedbelowasperthe2019WorldHealthOrganzationclassificatonoftumorsripocticTumorsTumorsofuncertainferentiationMyxoidroundcellliposarcomaFibroblasticMyofbroblasticTumorsfsoftExtraskeletalmyxoidchondrosarcomama,lowgradePrimitiveneuroectodermaltumor(PN)extraskeletalEwingtumorDesmoplasticsmalloundcelltumorrosingepitheoidfibrosarcomaExtrarenarhabdoidtumorSo-calledFibrohistiocyticTumorsUndifferentiatedsarcoma;sarcomanctotherwisespecified(NOs)alignantfibroushistiocytomamyxofibrosarcomaandinammatoryformsariesinthecoVascularTumoraEpitheicidhemangioendotheliomaTheFollowiumorscfPeripheralNervessarcomasarsinginissuesapartfromsofttissue(eg,parenchymalExdraskeletalchondrosarcoma(mesenchymalandothervariants,ExtraskeletalosteoarCommieoncanginformationistheAgngManual,SeventhEdton[2019)publhestagingtables,vistwwsnnnontenmjAnyciationorquotationdthismaleralmustbecodedtotheACCasitsnofthisinformationhorondodsnotauthorsanypousoorfurtherdistrbutionwthouttheaxprossod,wrttenpermissionofSpnngorSBM.onbohatdtheAJcc.National5惡性周圍神經(jīng)鞘膜瘤課件6惡性周圍神經(jīng)鞘膜瘤課件7惡性周圍神經(jīng)鞘膜瘤課件8惡性周圍神經(jīng)鞘膜瘤課件9惡性周圍神經(jīng)鞘膜瘤課件10惡性周圍神經(jīng)鞘膜瘤課件11惡性周圍神經(jīng)鞘膜瘤課件12惡性周圍神經(jīng)鞘膜瘤課件13惡性周圍神經(jīng)鞘膜瘤課件14惡性周圍神經(jīng)鞘膜瘤課件15惡性周圍神經(jīng)鞘膜瘤課件16惡性周圍神經(jīng)鞘膜瘤課件17惡性周圍神經(jīng)鞘膜瘤課件18惡性周圍神經(jīng)鞘膜瘤課件19惡性周圍神經(jīng)鞘膜瘤課件20惡性周圍神經(jīng)鞘膜瘤課件21惡性周圍神經(jīng)鞘膜瘤課件22惡性周圍神經(jīng)鞘膜瘤課件23惡性周圍神經(jīng)鞘膜瘤課件24惡性周圍神經(jīng)鞘膜瘤課件25惡性周圍神經(jīng)鞘膜瘤課件26惡性周圍神經(jīng)鞘膜瘤課件27惡性周圍神經(jīng)鞘膜瘤課件28惡性周圍神經(jīng)鞘膜瘤課件29惡性周圍神經(jīng)鞘膜瘤課件30惡性周圍神經(jīng)鞘膜瘤課件31惡性周圍神經(jīng)鞘膜瘤課件32惡性周圍神經(jīng)鞘膜瘤課件33惡性周圍神經(jīng)鞘膜瘤。。病例分享惡性周圍神經(jīng)鞘膜瘤。。34惡性周圍神經(jīng)鞘膜瘤杜××,女,35歲因“左頸部神經(jīng)鞘膜瘤術(shù)后2年肺轉(zhuǎn)移11月”入院。2019-3-8行左頸部神經(jīng)鞘膜瘤手術(shù)術(shù)后病理:(左頸部)軟組織肉瘤伴壞死,結(jié)合免疫組化,符合惡性周圍神經(jīng)膜瘤。術(shù)后放療2019-4-12省腫瘤醫(yī)院病理示:(右肺腫塊左肩部可及一大小約13×8cm腫塊,穿刺)少量肺及纖維組織內(nèi)見少量軟組織肉質(zhì)硬,邊界尚清,活動度差,無壓痛瘤浸潤,并伴退變、壞死。化療6次(異環(huán)磷酰胺2d1-3+美司納400mgd3+鹽酸比柔表星ruvefeng1008/26惡性周圍神經(jīng)鞘膜瘤35惡性周圍神經(jīng)鞘膜瘤×,男,12身高124cm胸背部可見多個大小不一、散在的咖啡色斑塊頸部及胸肋部可觸及多個纖維瘤,質(zhì)軟,活動度可患者兒子ruvefeng1008/26惡性周圍神經(jīng)鞘膜瘤36惡性周圍神經(jīng)鞘膜瘤要內(nèi)容概述24s流行病學臨床表現(xiàn)診斷與治療研究進展ruvefeng1008/26惡性周圍神經(jīng)鞘膜瘤37NationalNCCNComprehensiveNCCNGuidelinesTMVersion2.2019StagingSoftTissueSarcomaSoftTissueSarDeTable1.ContinuedTumorsincludedinthesofttissuecategoryarelistedbelowasperthe2019WorldHealthOrganzationclassificatonoftumorsripocticTumorsTumorsofuncertainferentiationMyxoidroundcellliposarcomaFibroblasticMyofbroblasticTumorsfsoftExtraskeletalmyxoidchondrosarcomama,lowgradePrimitiveneuroectodermaltumor(PN)extraskeletalEwingtumorDesmoplasticsmalloundcelltumorrosingepitheoidfibrosarcomaExtrarenarhabdoidtumorSo-calledFibrohistiocyticTumorsUndifferentiatedsarcoma;sarcomanctotherwisespecified(NOs)alignantfibroushistiocytomamyxofibrosarcomaandinammatoryformsariesinthecoVascularTumoraEpitheicidhemangioendotheliomaTheFollowiumorscfPeripheralNervessarcomasarsinginissuesapartfromsofttissue(eg,parenchymalExdraskeletalchondrosarcoma(mesenchymalandothervariants,ExtraskeletalosteoarCommieoncanginformationistheAgngManual,SeventhEdton[2019)publhestagingtables,vistwwsnnnontenmjAnyciationorquotationdthismaleralmustbecodedtotheACCasitsnofthisinformationhorondodsnotauthorsanypousoorfurtherdistrbutionwthouttheaxprossod,wrttenpermissionofSpnngorSBM.onbohatdtheAJcc.National38惡性周圍神經(jīng)鞘膜瘤課件39惡性周圍神經(jīng)鞘膜瘤課件40惡性周圍神經(jīng)鞘膜瘤課件41惡性周圍神經(jīng)鞘膜瘤課件42惡性周圍神經(jīng)鞘膜瘤課件43惡性周圍神經(jīng)鞘膜瘤課件44惡性周圍神經(jīng)鞘膜瘤課件45惡性周圍神經(jīng)鞘膜瘤課件46惡性周圍神經(jīng)鞘膜瘤課件47惡性周圍神經(jīng)鞘膜瘤課件48惡性周圍神經(jīng)鞘膜瘤課件49惡性周圍神經(jīng)鞘膜瘤課件50惡性周圍神經(jīng)鞘膜瘤課件51惡