What Is Fibrosarcoma?

Fibrosarcoma is more common in oral and maxillofacial sarcomas. It is a malignant tumor derived from oral and facial fibroblasts. It can occur from the periosteum, periodontal membrane, and connective tissue in oral soft tissues, such as the lips, cheeks, and tongue. Occurred in the jaw, occasionally in the anterior joint of the mandible, mandibular angle and condyle, etc. In addition, the posterior maxillary and maxillary sinus also occur, and fibrosarcoma in the jaw is more common in children and young people ; Oral soft tissue fibrosarcoma is more common in middle and middle-aged adults, and its malignancy depends on the cell differentiation and growth rate.

Fibrosarcoma

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1. It mostly occurs in young adults, more men than women, the surface of the mass is hot and grows quickly, but there are also some early growth that is slower. When the bone tissue is eroded, X-rays show worm-like osteolysis.

2. Most of the clinical manifestations are enlarged masses, often accompanied by pain and local skin numbness. When the mass is enlarged on the facial skin, angered blood vessels and surface congestion can be clearly seen. Those that occur on the mouth and jaw surface are spherical or lobed. It is purple-red, often with ulcers, bleeding, and invasion of adjacent tissues can cause bone destruction and tooth loss.

Diagnose based on

1. Occurs in young adults, the surface of the mass is hot, grows rapidly, and erosive osteolytic manifestations can be seen on the X-ray film when the bone tissue is eroded.

2. An enlarged mass with pain and local skin numbness. When it occurs on the facial skin, angered blood vessels and surface congestion can be clearly seen. Those that occur on the surface of the mouth and jawbone are spherical or lobed, and the surface is purple-red. There are often ulcers, bleeding and loose teeth.

3. Pathological examination confirmed the diagnosis.

Fibrosarcoma treatment principles

Surgery-based treatment, radiation therapy and chemotherapy, TCM meridian dredging, etc., comprehensive treatment measures.

Fibrosarcoma medication principles

For general anti-infective surgery, sulfa drugs or drugs mainly acting on Gram-positive bacteria are selected. The scope of the surgery is large, and bone grafting or more complex repairs are usually combined with drugs, which are more commonly used: drugs acting on Gram-positive bacteria + drugs acting on Gram-negative bacteria + acting on anaerobic bacteria Drug. Before and after surgery, the infection is severe or the operation is severe, and those with complicated repair methods can choose effective antibiotics according to clinical and drug sensitivity tests.