Yoshida Kenji, Nakamurai Eijiro, Kawahara Takashi, Inoue Takamitsu, Sawazaki Harutake, Kamba Tomomi, Yoshimura Koji, Takahashi Takeshi, Nishiyama Hiroyuki, Segawa Takehiko, Ito Noriyuki, Kamoto Toshiyuki, Ogawa Osamu, Fujii Hiroko, Shiomi Tatsushi, Kotani Yasukazu, Mikami Yoshiki, Manabe Toshiaki
The Department of Urology, Kyoto University Graduate School of Medicine.
Hinyokika Kiyo. 2006 Sep;52(9):727-31.
We report a case of myxoid liposarcoma developed in the right inguinal region. A 45-year-old man visited our hospital with a chief complaint of painless right inguinal mass. He was diagnosed with right direct inguinal hernia for the first time and received a hernia repair. However, the size of the inguinal mass increased gradually after the operation. Then, the tumor was re-evaluated by imaging study such as ultrasonography, computed tomography and magnetic resonance imaging. A fatty mass 4.0 cm in diameter was demonstrated and the tumor was diagnosed as a liposarcoma preoperatively. In addition to the right high orchiectomy, surrounding fatty tissue was also removed at the time of the operation. Histological examination revealed a myxoid liposarcoma and the existence of several daughter regions outside the pseudo-capsule. Right spermatic cord and testis were intact. Postoperatively, he received 54 Gy dose of radiation therapy to right inguinal region for the prevention of the local recurrence of the disease.
我们报告一例发生于右侧腹股沟区的黏液样脂肪肉瘤。一名45岁男性因右侧腹股沟无痛性肿块为主诉前来我院就诊。他最初被诊断为右侧腹股沟直疝并接受了疝修补术。然而,术后腹股沟肿块大小逐渐增大。随后,通过超声、计算机断层扫描和磁共振成像等影像学检查对肿瘤进行了重新评估。术前显示一个直径4.0厘米的脂肪性肿块,该肿瘤被诊断为脂肪肉瘤。手术时除了进行右侧高位睾丸切除术外,还切除了周围的脂肪组织。组织学检查显示为黏液样脂肪肉瘤,且假包膜外存在几个子区域。右侧精索和睾丸完整。术后,他接受了54 Gy剂量的右侧腹股沟区放射治疗以预防疾病局部复发。