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[经动脉栓塞后手术切除腹膜后脂肪肉瘤:病例报告]

[Surgical removal of retroperitoneal liposarcoma after transarterial embolization: a case report].

作者信息

Makiyama K, Kobayashi K, Senga Y, Gotou A, Sakuramoto T, Nagashima Y, Takebayashi S

机构信息

Department of Urology, Chigasaki Municipal Hospital.

出版信息

Hinyokika Kiyo. 1999 Aug;45(8):531-3.

Abstract

A case of retroperitoneal liposarcoma that was removed after transarterial embolization is reported. A 62-year-old man was admitted with body weight loss and general fatigue. Computed tomography revealed an extrarenal tumor, 27 x 17 x 11 cm in size, in the left retroperitoneal space. Arteriography revealed that the hypervascular tumor was fed from the left renal artery, the left adrenal artery and the left lumber arteries (L1-L4). At first the patient underwent transarterial embolization of the left renal artery and the left lumbar arteries (L1, L3, L4). Twenty-two days later he underwent surgical excision of the tumor with combined resection of the left kidney and the descending colon. The resected tissue weighed 2,500 g. Histological examination revealed liposarcoma, pleomorphic type. His postoperative course was uneventful, and he has remained free of disease for 15 months.

摘要

报告了一例经动脉栓塞后切除的腹膜后脂肪肉瘤病例。一名62岁男性因体重减轻和全身乏力入院。计算机断层扫描显示左腹膜后间隙有一个肾外肿瘤,大小为27×17×11厘米。动脉造影显示,这个高血运肿瘤由左肾动脉、左肾上腺动脉和左腰动脉(L1-L4)供血。起初,患者接受了左肾动脉和左腰动脉(L1、L3、L4)的经动脉栓塞。22天后,他接受了肿瘤切除术,并联合切除了左肾和降结肠。切除组织重2500克。组织学检查显示为多形性脂肪肉瘤。他术后恢复顺利,已无病生存15个月。

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