Gregor J, Dzielicki J
Katedra i Klinika Chirurgii Wad Rozwojowych Dzieci i Traumatologii, Slaska Akademia Medyczna, ul. 3 Maja 13/15, 41-800 Zabrze, Poland.
Med Wieku Rozwoj. 2001 Jul-Sep;5(3 Suppl 1):71-4.
Three cases of surgical treatment of the right supraclavicular fossa lipoblastoma in a 9-year-old boy, the mesentery lipoblastoma in a 13-month-old boy and retroperitoneal space lipoblastoma in a 6-month-old boy are presented. Deformity of supraclavicular fossa in the first patient, abdomen circumference enlargement in the second and right abdomen deformity in the third patient were the only symptoms. The above mentioned symptoms lasted respectively 5, 3 months and 7 days. X-rays and sonography examinations showed the presence of solid capsuled mass of tabular structure each time. CT scans in patient with mesentery lipoblastoma revealed additionally a fat-like tissue of the tumour (CT examination in the third patient gave suspicion of lipopblastoma). All tumours were surgically removed - they had tabular structure and were capsuled. The diameters were respectively: 6.5 x 6x 4 cm, 20 x 16 x 9 cm and 13x16x6 cm. This is to emphasize that the results of preoperative examinations as far as size, borders and tabular character of both tumours were very accurate when compared with intraoperative picture. No postoperative complications were noted. The follow-up recheck period is 2 years in the first, 9 months in the second and I day in the third case. All boys are well.
本文介绍了三例脂肪母细胞瘤的手术治疗病例,分别为一名9岁男孩的右锁骨上窝脂肪母细胞瘤、一名13个月大男孩的肠系膜脂肪母细胞瘤和一名6个月大男孩的腹膜后间隙脂肪母细胞瘤。首例患者的唯一症状是右锁骨上窝畸形,第二例患者为腹围增大,第三例患者为右腹部畸形。上述症状分别持续了5个月、3个月和7天。每次X线和超声检查均显示存在有包膜的实性板状结构肿块。肠系膜脂肪母细胞瘤患者的CT扫描还显示肿瘤内有脂肪样组织(第三例患者的CT检查怀疑为脂肪母细胞瘤)。所有肿瘤均通过手术切除,它们均具有板状结构且有包膜。直径分别为:6.5×6×4cm、20×16×9cm和13×16×6cm。需要强调的是,与术中所见相比,术前检查在肿瘤大小、边界和板状特征方面的结果非常准确。未观察到术后并发症。第一例患者的随访复查期为2年,第二例为9个月,第三例为1天。所有男孩情况良好。