Târcoveanu E, Pleşa C, Dănilă N, Grigoraş M, Florea N, Neacşu C
Clinica I-a Chirurgicală, Spitalul Universitar Sf. Spiridon, Bd. Independenţei nr. 1, Iaşi 6600.
Chirurgia (Bucur). 2000 Jan-Feb;95(1):43-9.
70 retroperitoneal tumors (10 with an adipous origin out of which 8 were lipomas) have been operated upon in our clinic since 1985. Four cases of giant lipomas are presented in this paper. They weighed 4.5-7.5 kg. and had a diameter over 15 centimeters. Their close proximity with the kidney, duodenum, colon, inferior vena cava etc made there extirpate difficult. The post-operative condition of the patients was good. Although the histopathological tests proved that all these giant lipomas were benign after two to four years, their relapse required a new surgical intervention. The histopathology of the relapsed lipomas revealed a malign degeneration in 3 out of the four cases. The origin of this malign degeneration was in the fibrous part of the tumors.
自1985年以来，我院共对70例腹膜后肿瘤进行了手术治疗（其中10例起源于脂肪组织，8例为脂肪瘤）。本文介绍了4例巨大脂肪瘤病例。它们重达4.5 - 7.5千克，直径超过15厘米。它们与肾脏、十二指肠、结肠、下腔静脉等相邻，使得切除困难。患者术后情况良好。尽管组织病理学检查证明所有这些巨大脂肪瘤在两到四年后均为良性，但它们的复发需要再次进行手术干预。复发脂肪瘤的组织病理学检查显示，4例中有3例发生了恶性变。这种恶性变起源于肿瘤的纤维部分。
