Yıldırım Mustafa, Parlak Eda, Köroglu Mert, Köksal Sibel, Yıldız Mustafa, Gürses Cemil
Antalya Education and Research Hospital, Department of Medical Oncology, Antalya, Turkey.
Acta Inform Med. 2012 Jun;20(2):129-30. doi: 10.5455/aim.2012.20.129-130.
In the differential diagnosis of lipomas, fibromatous hamartoma, liposarcoma, fibrolipoma and teratoma may be mentioned as fat-containing lesions of peripheral localization. However, these lesions are different from lipomas in that they contain soft tissue components and are not homogeneous. Furthermore, they are much larger than lipomas, are infiltrative and their CT density is greater than -50 HU. Though it is emphsized that up to the present time surgery has been the gold standard method in the recognition and treatment, considering the risks of surgical procedures, we are of the opinion that diagnosis can be established and the follow-up can be managed with advanced radiological methods and that there is no necessity for invasive interventions especially in asymptomatic patients.
在脂肪瘤的鉴别诊断中，纤维瘤性错构瘤、脂肪肉瘤、纤维脂肪瘤和畸胎瘤可作为外周定位的含脂肪病变被提及。然而，这些病变与脂肪瘤不同，因为它们含有软组织成分且并非均质。此外，它们比脂肪瘤大得多，具有浸润性，其CT密度大于-50 HU。尽管目前强调手术一直是识别和治疗的金标准方法，但考虑到手术操作的风险，我们认为可以通过先进的放射学方法进行诊断和随访管理，尤其是对于无症状患者，没有必要进行侵入性干预。
