Jensen V, Witte M H, Latifi R
Department of Surgery, University of Arizona College of Medicine, Tucson, Arizona 85724-5063, USA.
Lymphology. 2006 Dec;39(4):181-4.
We describe a 31 year old man with a massive localized tumor-like lipolymphedema, a puzzling entity that afflicts the morbidly obese. The 281 kg man presented with a growing ulcerated bleeding mass located on his proximal medial thigh and suspicious for sarcoma. After en bloc resection of the 28.2 kg edematous mass, no evidence of neoplasm was found, only prominent lymphatic vessel dilation and edema with large quantities of unremarkable adipose and connective tissue. The lesion conformed to the diagnostic criteria for massive localized lipolymphedema (MLL) pseudotumor.
我们描述了一名31岁男性，患有巨大的局限性肿瘤样脂肪淋巴水肿，这是一种困扰病态肥胖者的令人费解的病症。这名体重281公斤的男子大腿近端内侧出现一个不断增大的溃疡出血肿块，怀疑是肉瘤。在对这个28.2公斤的水肿肿块进行整块切除后，未发现肿瘤迹象，仅见明显的淋巴管扩张和水肿，伴有大量无异常的脂肪和结缔组织。该病变符合巨大局限性脂肪淋巴水肿（MLL）假瘤的诊断标准。
