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NF1之惡性病變
皮膚神經纖維瘤的惡性轉變
皮膚神經纖維瘤,發展為癌症是罕見的。叢狀神經纖維瘤惡性轉變則有10-20%的機率,因腫瘤的大小而異,甚至可能有惡性轉移。
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Malignant peripheral nerve sheath tumor
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A malignant peripheral nerve sheath tumor (MPNST) (also known as "Malignant schwannoma,"[1] "Neurofibrosarcoma,"[1] and "Neurosarcoma"[1]) is a form of cancer of the connective tissue surrounding nerves. Given its origin and behavior it is classified as a sarcoma. About half the cases are diagnosed in people with neurofibromatosis; the lifetime risk for an MPNST in patients with neurofibromatosis type 1 is 8-13%.[2] MPNST with rhabdomyoblastomatous component are called malignant triton tumors.
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The first-line treatment is surgical resection with wide margins. Chemotherapy (e.g. high-dose doxorubicin) and often radiotherapy are done as adjuvant and/or neoadjuvant treatment.
結語
雖然目前NF1及NF2的致病基因已被發現,而且相對蛋白質功能亦已了解,可惜迄今仍無根本之療法。目前主要對策是小心監測腫瘤發生及早日發現併發症
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