Sato Hirotaka, Minei Sadatsugu, Sugimoto Shuji, Kishimoto Yuichi, Yoshida Toshio, Takimoto Yukie
Department of Urology, Nihon University School of Medicine, 30-1, Oyaguchi-Kamimachi, Itabashiku, Tokyo, 173-8610, Japan.
Int J Urol. 2004 Dec;11(12):1133-5. doi: 10.1111/j.1442-2042.2004.00958.x.
Abstract A 72-year-old man complaining of upper abdominal discomfort was diagnosed as having retroperitoneal liposarcoma by means of diagnostic imaging. He then underwent an operation. One mass existed on the curvatura ventriculi major, extending to the hilum splenicum and pressing back the pancreal head and body. There was another mass to the left of the first, situated on the ventral side of the left kidney. Also, another mass was intramurally found adjacent to the curvatura ventriculi major. Histologically, the mass on the curvatura ventriculi major ranged from the peritoneal cavity to the retroperitoneum Its intraperitoneal portion was classified as a differentiated lipoma-like type and the retroperitoneal mass was of mucous type. The mass on the left kidney was of a differentiated fibrosing type. The intramural mass in the gastric curvature was found to be a differentiated lipoma-like type. The patient has been under observation for 12 months and has shown no recurrence.
摘要 一名72岁男性因上腹部不适就诊,经诊断性影像学检查确诊为腹膜后脂肪肉瘤。随后他接受了手术。胃大弯处有一个肿块,延伸至脾门,压迫胰头和胰体。第一个肿块左侧还有一个肿块,位于左肾腹侧。此外,在胃大弯壁内还发现了另一个肿块。组织学检查显示,胃大弯处的肿块从腹腔延伸至腹膜后,其腹腔内部分为分化型脂肪瘤样,腹膜后肿块为黏液型。左肾肿块为分化型纤维化型。胃壁内肿块为分化型脂肪瘤样。该患者已接受观察12个月,未出现复发。