大网膜原发性平滑肌肉瘤：一例报告
Primary leiomyosarcoma of the greater omentum: a case report.
作者信息
Brañes Alejandro, Bustamante Caroll, Valbuena José, Pimentel Fernando, Quezada Nicolás
机构信息
Digestive Surgery Department, School of Medicine, Pontifical Catholic University of Chile, Santiago, Chile.
Pathology Department, School of Medicine, Pontifical Catholic University of Chile, Santiago, Chile.
出版信息
Int J Surg Case Rep. 2016;28:317-320. doi: 10.1016/j.ijscr.2016.10.025. Epub 2016 Oct 14.
INTRODUCTION
Greater omentum leiomyosarcomas are rare tumors with only a few cases reported in literature.
PRESENTATION OF CASE
We report the case of a 68-year-old man who consulted complaining of diffuse abdominal pain without a palpable mass at physical examination. Imaging studies revealed a solid-cystic lesion in the right lower quadrant. Surgical resection was performed and the tumor was diagnosed as a leiomyoscarcoma by histological and immunohistochemical examinations.
DISCUSSION
Surgical resection of all lesions seems to be a reasonable therapeutic approach if resection is feasible. Chemotherapy may be used in selected cases.
CONCLUSION
More cases are needed to define the best treatment approach of this disease.
引言
大网膜平滑肌肉瘤是罕见肿瘤，文献中仅报道过少数病例。
病例介绍
我们报告一例68岁男性病例，该患者因弥漫性腹痛前来就诊，体格检查未触及肿块。影像学检查显示右下腹有一实性囊性病变。进行了手术切除，经组织学和免疫组化检查，肿瘤被诊断为平滑肌肉瘤。
讨论
如果可行，手术切除所有病变似乎是一种合理的治疗方法。在某些特定病例中可使用化疗。
结论
需要更多病例来确定该疾病的最佳治疗方法。
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