Funahashi Makoto, Makiyama Kazuhide, Sugiura Shinpei, Suzuki Kotaro, Fujinami Kiyoshi, Saito Kazuo, Noguchi Kazumi, Kubota Yoshinobu
Department of Urology, Yokohama City University Medical Center.
Hinyokika Kiyo. 2004 Feb;50(2):115-7.
A case of retroperitoneal liposarcoma with reactive pleural effusion is reported. A 58-year-old male who complained of weight gain and edema had visited another clinic in May, 2002. Computed tomography revealed a retroperitoneal tumor, 11 x 9 x 9.5 cm in size, surrounding his right kidney and bilateral pleural effusion. Complete resection of the tumor and right kidney was performed with a transperitoneal approach. Though the tumor was limited within Gerota's fascia, we noted two liters of abdominal ascites. Surgical specimen was histologically diagnosed as well differentiated liposarcoma. The post operative course was uneventful. The pleural effusion disappeared, and serum total protein level was normalized. He has remained free of disease for one year.
报告一例伴有反应性胸腔积液的腹膜后脂肪肉瘤病例。一名58岁男性,主诉体重增加和水肿,于2002年5月就诊于另一家诊所。计算机断层扫描显示一个大小为11×9×9.5厘米的腹膜后肿瘤,包绕其右肾并伴有双侧胸腔积液。采用经腹途径完整切除肿瘤及右肾。尽管肿瘤局限于肾周筋膜内,但我们发现有两升腹腔积液。手术标本经组织学诊断为高分化脂肪肉瘤。术后过程顺利。胸腔积液消失,血清总蛋白水平恢复正常。他已无病生存一年。