Zhang Wei-Dong, Liu DA-Ren, Que Ri-Sheng, Zhou Chuan-Biao, Zhan Chen-Ni, Zhao Jian-Gang, Chen L I
Department of Surgery, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310009, P.R. China.
Oncol Lett. 2015 Jul;10(1):405-409. doi: 10.3892/ol.2015.3193. Epub 2015 May 8.
Retroperitoneal liposarcoma is a rare tumor with an incidence of 2.5 per million individuals. Early diagnosis is difficult as there is an absence of specific clinical presentations. The present case study reports a patient diagnosed with retroperitoneal liposarcoma who was treated by complete surgical resection and relapsed 3 months following the surgery. In addition, the clinical data of 14 patients with retroperitoneal liposarcoma were reviewed and analyzed. The mean age of the 14 patients at presentation was 54.1 (range, 36-73 years) and 5/14 patients experienced recurrence, ranging between 1 and 10 times. Of the 12 cases that reported histological subtypes, 7 were well-differentiated liposarcoma, 2 were dedifferentiated liposarcoma, 2 were myxoid liposarcoma and 1 was mixed subtype. All the patients underwent complete resection and 5 received combined multiple organs resection (3 nephrectomy, 1 sigmoid colon and 1 multiple visceral organs). However, no patients received chemotherapy or radiotherapy. In conclusion, retroperitoneal liposarcoma is a rare disease with a high rate of recurrence. Complete resection is the predominant treatment and combined resection of adjacent organs is occasionally necessary.
腹膜后脂肪肉瘤是一种罕见肿瘤,发病率为百万分之2.5。由于缺乏特异性临床表现,早期诊断困难。本病例报告了一名经诊断为腹膜后脂肪肉瘤的患者,其接受了完整手术切除,但术后3个月复发。此外,对14例腹膜后脂肪肉瘤患者的临床资料进行了回顾与分析。14例患者就诊时的平均年龄为54.1岁(范围36 - 73岁),5/14例患者出现复发,复发次数在1至10次之间。在报告组织学亚型的12例病例中,7例为高分化脂肪肉瘤,2例为去分化脂肪肉瘤,2例为黏液样脂肪肉瘤,1例为混合亚型。所有患者均接受了完整切除,5例接受了联合多器官切除(3例肾切除、1例乙状结肠切除和1例多个内脏器官切除)。然而,没有患者接受化疗或放疗。总之,腹膜后脂肪肉瘤是一种罕见疾病,复发率高。完整切除是主要治疗方法,偶尔需要联合切除相邻器官。