Goshtasby Parviz, Brooks Glen, Fielding L Peter
Department of Surgery, York Hospital, York, Pennsylvania 17405, USA.
Curr Surg. 2006 Sep-Oct;63(5):338-44. doi: 10.1016/j.cursur.2006.03.005.
Disorders of fatty tissue metabolism and body contour are frequently described in the literature. Several different syndromes have been ascribed to recurring characteristics of fatty deposition with similar underlying etiologies. These syndromes can generally be classified into the lipomatoses (abnormal accumulations of fat) and the lipodystrophies (abnormal fat atrophy). The authors describe a case of isolated symmetrical lipomatosis of the soft tissue overlying the trochanters that developed a recurrence after treatment with liposuction. They have attempted to match this patient's disorder into 1 of several reported syndromes, with benign symmetric lipomatosis and acquired partial lipodystrophy at the top of the differential diagnosis. However, some characteristics of this patient may warrant a separate categorization for her condition. In this case report, the current literature on disorders of fatty tissue metabolism is reviewed and a discussion of relevant factors and issues surrounding their clinical significance and management is provided.
脂肪组织代谢紊乱和身体轮廓问题在文献中经常被描述。几种不同的综合征被归因于具有相似潜在病因的脂肪沉积反复出现的特征。这些综合征通常可分为脂肪瘤病（脂肪异常堆积）和脂肪营养不良（脂肪异常萎缩）。作者描述了一例转子上方软组织孤立性对称性脂肪瘤病的病例，该病例在抽脂治疗后复发。他们试图将该患者的病症与几种已报道的综合征之一相匹配，其中良性对称性脂肪瘤病和获得性部分脂肪营养不良在鉴别诊断中排在首位。然而，该患者的一些特征可能需要对其病情进行单独分类。在本病例报告中，回顾了关于脂肪组织代谢紊乱的当前文献，并对围绕其临床意义和管理的相关因素及问题进行了讨论。
