巨大腹膜后去分化脂肪肉瘤
Giant retroperitoneal dedifferentiated liposarcoma.
作者信息
Beksac Kemal, Aksel Bulent, Yukruk Fisun Ardic, Kandemir Olcay
出版信息
Ann Ital Chir. 2017 Jan 16;6:S2239253X17025051.
INTRODUCTION
Liposarcoma is the most frequent type of retroperitoneal sarcomas. Dedifferentiated liposarcoma is the least common subtype and is an extremely rare tumor.
CASE REPORT
We present the case of a 53-year-old male who was referred with a giant retroperitoneal mass. The patients' mass was deemed unresectable by the previous institution and received chemotherapy with no benefit. We macroscopically removed the 38x32 cm mass with right nefrectomy. Pathological examination revealed dedifferentiated liposarcoma.
CONCLUSION
Surgery is the gold standart in the treatment of retroperitoneal sarcomas. Giant masses present a challenge for the surgeon with possible major vascular injuries and multiorgan resections. Therefore it is important for these patients to be referred for surgery without delay.
KEY WORDS
Dedifferentiated liposarcoma, Liposarcoma, Retroperitoneal sarcoma.
引言
脂肪肉瘤是腹膜后肉瘤最常见的类型。去分化脂肪肉瘤是最不常见的亚型，是一种极其罕见的肿瘤。
病例报告
我们报告一例53岁男性，因巨大腹膜后肿块前来就诊。前一家机构认为该患者的肿块无法切除，且化疗无效。我们通过右肾切除术肉眼下切除了38×32厘米的肿块。病理检查显示为去分化脂肪肉瘤。
结论
手术是腹膜后肉瘤治疗的金标准。巨大肿块给外科医生带来挑战，可能导致严重血管损伤和多器官切除。因此，及时将这些患者转诊进行手术很重要。
关键词
去分化脂肪肉瘤、脂肪肉瘤、腹膜后肉瘤
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