Ishibiki Yuji, Matsumura Tsutomu, Kawarai Mitsue, Hukushi Yoshihiko
Department of Urology, Fukaya Red Cross Hospital.
Nihon Hinyokika Gakkai Zasshi. 2007 May;98(4):638-42. doi: 10.5980/jpnjurol1989.98.638.
A 79-year-old man who had low grade fever and general malaise was referred to our hospital on January 27, 2004. Physical examination revealed a hard fixed painless mass, measuring 10 cm in the left abdomen. Sarcoma of retroperitoneal origin was suspected preoperatively by abdominal ultrasonogram, CT, MRI and Angiography. Extended surgical treatment including left nephrectomy was performed. The tumor was histologically diagnosed as storiform-pleomorphic malignant fibrous histiocytoma (MFH) arising from perirenal tissue. Although we recommended adjuvant therapy after the excision, the patient refused. After a follow-up period of 11 months, he developed local recurrence in the left retroperitoneal space, and external irradiation was performed. He died 21 months after the operation. To our knowledge, this is the 10th case of MFH arising from perirenal tissue in Japan.
一位79岁男性，伴有低热和全身乏力，于2004年1月27日转诊至我院。体格检查发现左腹部有一质地硬、固定、无痛性肿块，大小为10厘米。术前通过腹部超声、CT、MRI及血管造影怀疑为腹膜后来源的肉瘤。遂行包括左肾切除术在内的扩大手术治疗。肿瘤组织学诊断为起源于肾周组织的席纹状-多形性恶性纤维组织细胞瘤（MFH）。尽管我们建议术后进行辅助治疗，但患者拒绝。经过11个月的随访，他在左腹膜后间隙出现局部复发，遂进行了外照射治疗。患者术后21个月死亡。据我们所知，这是日本第10例起源于肾周组织的MFH病例。
