Wolfhagen F H, Mensing J W, Veen H F, Dees A
Department of Internal Medicine, Ikazia Hospital, Rotterdam, The Netherlands.
Neth J Med. 1999 Jun;54(6):231-4. doi: 10.1016/s0300-2977(99)00004-2.
A large pedunculated, polypoid mass in the duodenum of a patient with asymptomatic anaemia, with mucosal biopsies indicating a villous adenoma, turned out to be a liposarcoma during laparotomy. The patient had had a completely resected retroperitoneal liposarcoma 8 years before. Liposarcoma recurrence should be highly suspected even in case of atypical presentation and long disease free interval.
一名无症状贫血患者十二指肠内有一个带蒂的巨大息肉样肿物,黏膜活检显示为绒毛状腺瘤,剖腹手术时却发现是脂肪肉瘤。该患者8年前曾有一个已完全切除的腹膜后脂肪肉瘤。即使临床表现不典型且无病间期较长,也应高度怀疑脂肪肉瘤复发。