Herrera-Gómez Angel, Ortega-Gutiérrez César, Betancourt Alejandro Mohar, Luna-Ortiz Kuauhyama
Department of Surgical Oncology, Instituto Nacional de Cancerología, México, D.F., Mexico.
World J Surg Oncol. 2008 Oct 31;6:115. doi: 10.1186/1477-7819-6-115.
Liposarcoma is the most frequent histopathological variety of the retroperitoneum, surgery is the gold standard for treatment.
We present the case of a 24-year-old male who was diagnosed with a giant retroperitoneal liposarcoma. The patient received palliative treatment due to non-resectability on the basis of chemotherapy. We decided to perform surgery after no benefit was received with systemic treatment. Complete macroscopic resection of the tumor was performed, without multi-organ resection. The patient is currently alive and disease free at 14 months of evolution.
Retroperitoneal liposarcomas represent a unique situation and require a more aggressive surgical approach including multiple resections for recurrences. Based on the ability of the patient to tolerate the procedure, surgery is suggested to evaluate resectability of the tumor. We must take into consideration whether prolonged survival will be attained and tumor removal will result in palliation of symptoms.
脂肪肉瘤是腹膜后最常见的组织病理学类型，手术是治疗的金标准。
我们报告一例24岁男性患者，诊断为巨大腹膜后脂肪肉瘤。由于基于化疗无法切除，患者接受了姑息治疗。在全身治疗无效后，我们决定进行手术。肿瘤进行了完整的宏观切除，未进行多器官切除。患者目前存活，病程14个月，无疾病复发。
腹膜后脂肪肉瘤情况特殊，需要更积极的手术方法，包括对复发病例进行多次切除。根据患者耐受手术的能力，建议进行手术以评估肿瘤的可切除性。我们必须考虑是否能实现延长生存期以及肿瘤切除是否能缓解症状。
