Gharehdaghi Mohammad, Hassani Mohammad, Khooei Ali R, Ghodsi Elaheh, Taghizadeh Ali
Mohammad Gharehdaghi MD, Orthopedic Research Center, Imam Reza Hospital Mashhad University of Medical Sciences, Mashhad, Iran.
Arch Bone Jt Surg. 2014 Mar;2(1):79-81. Epub 2014 Mar 15.
Liposarcoma is a common malignant soft tissue tumor, accounting for 10% to 16% of all sarcomas. Multicentric myxoid liposarcoma is an uncommon condition. Differentiation between several primary tumors and metastasis of a single liposarcoma represents the main difficulty in diagnosis. A 47-years old woman presented with right thigh myxoid liposarcoma and underwent wide margin tumor resection. Other investigations like CXR, abdominal and pelvic CT-scans were negative. After 18 months another myxoid liposarma was found in her ipsi-lateral breast without any evidence of other organs metastasis. Second lesion location, time between two presentation and cytogenetic differences are accepted criteria to site a sarcoma in multicentric category, but in myxoid liposarcoma these can be explained by the special features inherent to this tumor.
脂肪肉瘤是一种常见的恶性软组织肿瘤,占所有肉瘤的10%至16%。多中心黏液样脂肪肉瘤是一种罕见的情况。鉴别多个原发性肿瘤与单个脂肪肉瘤的转移是诊断的主要难点。一名47岁女性因右大腿黏液样脂肪肉瘤就诊并接受了广泛边缘肿瘤切除术。其他检查如胸部X光、腹部和盆腔CT扫描均为阴性。18个月后,在其同侧乳房发现了另一个黏液样脂肪肉瘤,且无其他器官转移的证据。第二个病变的位置、两次发病的时间间隔以及细胞遗传学差异是将肉瘤归类为多中心类型的公认标准,但在黏液样脂肪肉瘤中,这些可以用该肿瘤固有的特殊特征来解释。