Alecu L, Costan I, Vitalariu A, Obrocea F, Gulinescu L
Secţia de chirurgie generală, Spitalul Sf. dr. Cosma şi Damian, Str. Arh. Ioan Mincu nr. 7, sector 1, Bucureşti.
Chirurgia (Bucur). 2001 Jul-Aug;96(4):399-404.
The authors present the case of a 56 years old patient, from the surgery department, with the diagnostic: "Tumoral abdominal mass". Ultrasound investigation and CT-scan suspicioned a malignant omental tumor. Intraoperator, we found a tumor with macroscopic malignant features (sarcomatous like), greow in omentum; the large border of the stomach being fixed but not invaded by it; the dorsal parietal peritoneum of the right lumba and the little omentum were involved, too. We removed all of the sarcomatous tumor, large omentum, small omentum and the gastric fixed segment. Also, the parietal dorsal peritoneum with metastasis, was surgically removed. The patient's postoperator evolution was very good. The histological report established the diagnostic: "dedifferentiated liposarcoma of the omentum". We considered the case to be interesting because of the difficulties in diagnostic and the rarity of it.
作者介绍了一名来自外科的56岁患者的病例，诊断为“腹部肿瘤性肿块”。超声检查和CT扫描怀疑是恶性网膜肿瘤。术中，我们发现一个具有宏观恶性特征（肉瘤样）的肿瘤，生长在网膜中；胃的大边界固定但未被肿瘤侵犯；右腰背部的脏腹膜和小网膜也受累。我们切除了所有肉瘤样肿瘤、大网膜、小网膜和胃固定段。此外，还手术切除了有转移的脏腹膜。患者术后恢复良好。组织学报告确诊为“网膜去分化脂肪肉瘤”。我们认为该病例很有趣，因为其诊断困难且罕见。
