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KMID : 0358819760030020079
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1976 Volume.3 No. 2 p.79 ~ p.85
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Mallgnant Tumors in Skin and Soft Tissues
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朴炳胤/Park, B.Y.
李世一/李英浩/柳在德/Lee, S.I./Lee, Y.H./Lew, J.D.
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Abstract
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This study represents an effort to record the experience at Severance Hosp. Yonse Univ. for a group of malignant tumors in the skin and soft tissue whose behavior h stirred interest in the literature. We had chosen malignant tumors in the skin and so.tissue which was classified in the following histopathologic categories;
1. Epidermoid Ca. in the skin.
2. Fibrosarcoma.
3. Malignant melanoma.
4. Unclassified malignant tumor.
5. Rhabdomyosarcoma.
6. Kaposi´s sarcoma.
7. Liposarcoma.
8. Bassal cell Ca.
9. Reticulum cell sarcoma.
10. Hemangiopericytoma.
11. Malignant meseuchymuma.
12. Malignant hemangioendothelioma.
Treatment consisted of wide surgical excision, surgery and irradiation, exci~iona? ;biopsy or local excisicr., irradiation and chemotherapy and no treatment. Histologic .1? lassification of the tumors correleates well with prognosis.
Conclusion;
1. Histological classification of the :nalignant tumors of the soft tissue according to cell differentiationn which is well correlated prognosis.
2. Distant metastasis occur in poorly differentiated tumors, which are fibrosarcoma, malignant melanoma, rhabdomyosarcoma and reticulum cell saroma.
3. Wide surgical resection is the treatment of choice.
4. Recurrances should be treated aggressively even when wide surgical excision is nolonger feasible.
5. Prophylactic lymphnode dissection is not indicated but the biopsy of clinically positive lymphnode is recommended.
6. Irradiation combined with chemotherapy is a good method of the palliative treatment.
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KEYWORD
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