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Tumoren und tumorförmige Veränderungen des Weichgewebes

  • H. P. Meister
Chapter
Part of the Spezielle pathologische Anatomie book series (SPEZIELLE, volume 18)

Zusammenfassung

Zu den Weichgewebstumoren gehören nach der WHO-Definition alle mesenchymalen Tumoren, die zwischen Skelettsystem und Haut gelegen sind, mit Ausnahme der Tumoren des lymphatischen bzw. retikuloendothelialen Systems und der des Stützgewebes spezieller Organe, z.B. der Viszera. Wegen der ähnlichen klinischen und histologisch differentialdiagnostischen Problematik werden die Tumoren des neuroektodermalen Gewebes des peripheren und autonomen Nervensystems mit eingeschlossen (WHO/Enzinger 1969). Dabei gibt es weder a) nach „oben“zur Haut, noch b) in der „Tiefe“zum Skelett scharfe Grenzen, wie z.B. a) bei Tumoren der glatten Muskulatur und bei fibrösen Histiozytomen der Dermis oder b) bei aggressiven Fibromatosen des Periost und synovialen Sarkomen der Gelenkkapsel. Der Begriff Weichgewebs-„Tu-mor“wird weit gefaßt: Oft ist die Frage, ob es sich um eine Neoplasie oder um eine tumorförmige reaktive Zeilproliferation handelt, ungeklärt (WHO/Enzinger 1969). Mit dem Ausdruck „maligne“oder Sarkom werden alle Weichgewebstumoren belegt, die die Fähigkeit zur Metastasierung besitzen, wenn auch oft mit extremen Unterschieden in bezug auf 1. Metastasenhäufigkeit und 2. Dauer des metastasenfreien Intervalls (WHO/Enzinger 1969; Meister 1981).

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  • H. P. Meister

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