Iwama Masahiro, Murata Akihiko, Nishikawa Shinsuke, Takahashi Kenichi, Morita Takayuki
Dept. of Surgery, Misawa City Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2441-2443.
A 52-year-old man visited a local hospital complaining of abdominal distension. Enhanced computed tomography scan revealed a giant retroperitoneal tumor surrounding the left internal iliac artery and left kidney. We performed en bloc tumor resection with left internal iliac artery resection. The tumor was 35 cm in size and weighed 6,860 g. The histological diagnosis was a dedifferentiated liposarcoma. After surgery, the patient experienced left lower limb paralysis. Clinical examination and neurological findings suggested a lumbosacral problem. After 6 months, the patient's lower limb paralysis had not improved. It is important to note that ischemic neuropathy may be related to internal iliac artery resection.
一名52岁男性因腹胀前往当地医院就诊。增强计算机断层扫描显示，一个巨大的腹膜后肿瘤包绕左髂内动脉和左肾。我们进行了包括左髂内动脉切除的肿瘤整块切除。肿瘤大小为35厘米，重6860克。组织学诊断为去分化脂肪肉瘤。术后，患者出现左下肢麻痹。临床检查和神经学检查结果提示腰骶部问题。6个月后，患者下肢麻痹仍未改善。需要注意的是，缺血性神经病变可能与髂内动脉切除有关。
