Nohara Takahiro, Kawashimai Atsunari, Nagahara Akira, Kitamura Masaya, Akai Hideyuki, Okai Toshitsugu, Mano Masayuki
The Department of Urology, National Hospital Organization Osaka National Hospital.
Hinyokika Kiyo. 2005 Jan;51(1):21-3.
We report a case of multifocal liposarcoma that showed rapid growth in a short term. A 65-year-old male was referred from a local doctor to our clinic with the chief complaint of abdominal fullness. Abdominal CT shows two huge tumors in the intraperitoneal and retroperitoneal space, and we diagnosed it as multifocal liposarcoma. Both tumors were resected. The surgical specimens of intraperitoneal and retroperitoneal masses were 20 x 10 cm and 12 x 8 cm in size, and 3.5 kg and 2.8 kg in weight, respectively. Histological diagnosis of both tumors was myxoid liposarcoma. However, the tumor recurred 4 months later, and two additional operations were required because of rapid growth. The patient died at 7 months after the first admission. The clinical outcome of myxoid liposarcoma is known to be better than other histological types, but it is very poor when the tumor appears multifocally.
我们报告一例多灶性脂肪肉瘤,该肿瘤在短期内迅速生长。一名65岁男性因腹胀为主诉从当地医生处转诊至我院。腹部CT显示腹腔和腹膜后间隙有两个巨大肿瘤,我们将其诊断为多灶性脂肪肉瘤。两个肿瘤均被切除。腹腔和腹膜后肿块的手术标本大小分别为20×10 cm和12×8 cm,重量分别为3.5 kg和2.8 kg。两个肿瘤的组织学诊断均为黏液样脂肪肉瘤。然而,肿瘤在4个月后复发,由于快速生长需要再次进行两次手术。患者在首次入院7个月后死亡。黏液样脂肪肉瘤的临床预后已知优于其他组织学类型,但当肿瘤呈多灶性出现时预后非常差。