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伴有迅速加重的呼吸困难的咽后间隙脂肪肉瘤:一例报告并文献复习

Liposarcoma of the retropharyngeal space with rapidly worsening dyspnea: A case report and review of the literature.

作者信息

He Jian-Guo, Jiang Hua, Yang Bei-Bei, Lin Peng-Fang

机构信息

Department of Otolaryngology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310009, P.R. China.

出版信息

Oncol Lett. 2013 Jun;5(6):1939-1942. doi: 10.3892/ol.2013.1310. Epub 2013 Apr 17.

Abstract

Liposarcomas represent a significant proportion of soft-tissue sarcomas. However, their occurrence in the head and neck is infrequent and they are exceedingly rare in the retropharyngeal space. The present study reports the case of a 58-year-old patient with retropharyngeal liposarcoma. Uniquely, the patient presented with rapidly worsening dyspnea. The diagnosis of liposarcoma was established following retropharyngeal tumor excision, although biopsies were performed twice. Adjuvant radiotherapy was refused by the patient. However, during the post-operative follow-up period, no sign of either local tumor recurrence or distant metastasis was observed. Previously reported cases were also reviewed to analyze the diagnosis, treatment and prognosis of this disease.

摘要

脂肪肉瘤占软组织肉瘤的相当比例。然而,它们在头颈部的发生并不常见,在咽后间隙极为罕见。本研究报告了一例58岁咽后脂肪肉瘤患者的病例。该患者的独特之处在于出现了迅速加重的呼吸困难。尽管进行了两次活检,但在咽后肿瘤切除术后确诊为脂肪肉瘤。患者拒绝辅助放疗。然而,在术后随访期间,未观察到局部肿瘤复发或远处转移的迹象。还回顾了先前报道的病例,以分析该疾病的诊断、治疗和预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6a1/3700895/ba44aaed2bc1/OL-05-06-1939-g00.jpg

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