Nakajima Yutaka, Fukunari Hiroyuki, Kato Tomotaka, Yoshino Jun, Okajima Chisato, Shitara Kenji, Hayashi Tetsuji, Watanabe Gen, Ajioka Yoichi
Dept. of Surgery, Niigata Prefectural Tokamachi Hospital.
Gan To Kagaku Ryoho. 2014 Nov;41(12):2468-71.
The first patient was of a 71-year-old woman who was examined for abdominal protuberance. Computed tomography (CT) and magnetic resonanc e imaging(MRI)revealed a giant tumor almost occupying the entire abdomen. En-bloc resection was performed. The tumor was 30 cm in size and weighed 6,500 g. The histological diagnosis was a well-differentiated liposarcoma. The second patient was a 72-year-old woman who visited our hospital after she had been diagnosed with an abdominal tumor by her family doctor. CT and MRI revealed a massive tumor involving various components. The tumor had invaded the left ureter and descending colon; therefore, we performed tumorectomy, left nephrectomy, and descending colectomy. The histopathological findings indicated a well-differentiated, myxoid, pleomorphic liposarcoma. The tumor recurred 4, 5, and 7 years after the first operation. By the fourth operation, the histological subtype of the tumor had changed to a dedifferentiated type.
首例患者为一名71岁女性,因腹部隆起接受检查。计算机断层扫描(CT)和磁共振成像(MRI)显示一个巨大肿瘤几乎占据整个腹部。进行了整块切除。肿瘤大小为30厘米,重6500克。组织学诊断为高分化脂肪肉瘤。第二例患者是一名72岁女性,在家庭医生诊断出腹部肿瘤后前来我院就诊。CT和MRI显示一个巨大肿瘤累及多个部位。肿瘤侵犯了左输尿管和降结肠;因此,我们进行了肿瘤切除术、左肾切除术和降结肠切除术。组织病理学检查结果显示为高分化、黏液样、多形性脂肪肉瘤。首次手术后4年、5年和7年肿瘤复发。到第四次手术时,肿瘤的组织学亚型已转变为去分化型。