Tóth Teodóra, Chang Chien Yi-Che, Kollár Sándor, Kovács Ilona
Department of Pathology, Kenézy Gyula County Hospital, Bartók Béla út 2-26, Debrecen 4031, Hungary.
Case Rep Pathol. 2015;2015:375090. doi: 10.1155/2015/375090. Epub 2015 Aug 31.
Massive localized lymphedema (MLL) is a rare pseudosarcomatous lesion due to localized lymphatic obstruction from variable causes. It is most common on medial aspect of thigh and inguinal region. Abdominal localization is rare and may cause clinical diagnostic confusion with other malignant tumors due to its large size. We report a case of abdominal wall MLL of a 56-year-old male patient under clinical suspicion of well differentiated liposarcoma. The literature search and differential diagnosis will be addressed. In doubt cases, immunohistochemical stain or fluorescent in situ hybridization can help to separate this entity from the other mimickers.
巨大局限性淋巴水肿（MLL）是一种罕见的假肉瘤性病变，由多种原因导致的局限性淋巴管阻塞引起。它最常见于大腿内侧和腹股沟区。腹部受累罕见，因其体积较大，可能会在临床诊断上与其他恶性肿瘤混淆。我们报告一例56岁男性患者的腹壁MLL，临床怀疑为高分化脂肪肉瘤。将进行文献检索和鉴别诊断。在疑难病例中，免疫组化染色或荧光原位杂交有助于将该病变与其他类似病变区分开来。
