Coca Pelaz A, Núñez Batalla F, Vivanco Allende B, Díaz Molina J P, Suárez Nieto C
Department of Otolaryngology, Hospital Universitario Central de Asturias, c/Celestino Villamil s/n, Oviedo, Asturias, Spain.
Auris Nasus Larynx. 2010 Jun;37(3):394-6. doi: 10.1016/j.anl.2009.07.008. Epub 2009 Oct 24.
Liposarcomas generally originate in the extremities or retroperitoneum, they are very unusual in the head and neck region, and extremely rare in the thorax. The mainstay of treatment for liposarcomas is surgical excision. We report a very unusual case, not reported before to our knowledge, of a well-differentiated liposarcoma arising from the supraclavicular fossa that produces a pathological clavicular fracture. The patient underwent complete resection of the lesion, without damage of the cervical nerves. Eight months after the surgery the patient is free of recurrence. We demonstrate that giant liposarcomas can be resected completely without morbidity.
脂肪肉瘤通常起源于四肢或腹膜后,在头颈部区域非常少见,在胸部极为罕见。脂肪肉瘤的主要治疗方法是手术切除。我们报告一例非常罕见的病例,据我们所知此前尚未有过报道,即起源于锁骨上窝的高分化脂肪肉瘤导致病理性锁骨骨折。患者接受了病变的完整切除,未损伤颈神经。术后八个月患者无复发。我们证明巨大脂肪肉瘤可以完全切除且不会产生并发症。