Ozawa Hiroyuki, Soma Keiko, Ito Mari, Ogawa Kaoru
Department of Otolaryngology, School of Medicine Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Auris Nasus Larynx. 2007 Sep;34(3):417-21. doi: 10.1016/j.anl.2007.01.010. Epub 2007 Mar 26.
Liposarcoma is a soft tissue malignant tumor that is common in adults, though the incidence of this type of tumor in the head and neck region is extremely low. Herein, we report a case of myxoid liposarcoma occurring in the retropharyngeal space. We were unable to make a proper diagnosis of this tumor prior to surgery because of the radiographic findings and the anatomical location resembled those of neurogenic tumor. Myxoid liposarcoma often recurs. So its excision must be carried out carefully and radical dissection is recommended. In the past, liposarcomas arising in the retropharyngeal space were not radically resected because the extent of resection in the head and neck area risked poor functional outcome. In the present case, functional resection and radiotherapy were performed and proved to be efficacious in that no recurrence was observed for 2 years.
脂肪肉瘤是一种常见于成年人的软组织恶性肿瘤,尽管这种类型的肿瘤在头颈部区域的发病率极低。在此,我们报告一例发生于咽后间隙的黏液样脂肪肉瘤病例。由于影像学表现以及解剖位置与神经源性肿瘤相似,我们在手术前未能对该肿瘤做出准确诊断。黏液样脂肪肉瘤常复发。因此,必须谨慎进行切除,建议行根治性切除。过去,由于头颈部区域的切除范围可能导致功能预后不良,咽后间隙发生的脂肪肉瘤未进行根治性切除。在本病例中,进行了功能性切除和放疗,且在两年内未观察到复发,证明是有效的。