Sachidananda Sandeep, Krishnan Arunkumar, Ramesh Raja, Kuppurao Sivaprakasam
Department of General Surgery, Stanley Medical College and Hospital, Chennai, India.
Ann Coloproctol. 2013 Jun;29(3):123-5. doi: 10.3393/ac.2013.29.3.123. Epub 2013 Jun 30.
Liposarcomas are common tumors arising in the retroperitoneum. However, a primary mesenteric liposarcoma is a rare entity and less than 50 cases have been reported so far. Further, a liposarcoma arising in the transverse mesocolon is very unusual, and cases of multiple primary tumors arising from the transverse mesocolon are extremely rare. We want to report a case of a multiple primary mesenteric liposarcoma arising from the transverse mesocolon in a 63-year-old female who was successfully treated by surgery. Because a primary mesenteric liposarcoma is a rare entity, it should be considered with the differential diagnosis of an abdominal mesenchymal tumor. It can be diagnosed preoperatively by using contrast enhanced computed tomography and magnetic resonance imaging. The treatment for such a liposarcoma is surgical resection with sufficient surgical margin; the role of adjuvant therapy has yet to be defined.
脂肪肉瘤是发生于腹膜后的常见肿瘤。然而,原发性肠系膜脂肪肉瘤是一种罕见的实体瘤,迄今为止报道的病例不足50例。此外,发生于横结肠系膜的脂肪肉瘤非常少见,而源于横结肠系膜的多发原发性肿瘤病例极为罕见。我们报告一例63岁女性患者,其横结肠系膜发生多发原发性肠系膜脂肪肉瘤,经手术成功治疗。由于原发性肠系膜脂肪肉瘤是一种罕见的实体瘤,在腹部间叶组织肿瘤的鉴别诊断中应予以考虑。术前可通过增强计算机断层扫描和磁共振成像进行诊断。此类脂肪肉瘤的治疗方法是进行具有足够手术切缘的手术切除;辅助治疗的作用尚未明确。