Wang Lianwei, Luo Runlan, Xu Jinming, Fang Dengyang
Department of General Surgery, Fuling Central Hospital of Chongqing City, Chongqing, China.
Open Med (Wars). 2017 Dec 29;12:485-488. doi: 10.1515/med-2017-0071. eCollection 2017.
Liposarcoma, which develops in adipose tissue, is one of the most common soft tissue sarcomas. It appears mostly in the lower limbs, particularly in the thigh and limb girdles, followed by the upper extremities, thoracoabdominal wall, and the internal trunk and retroperitoneum. Pleomorphic liposarcoma (PLS), a rare subtype of liposarcoma is considered a highgrade malignancy.
We present a case of primary PLS in the left fallopian tube of a 47-year-old female. Ten months previously, she was diagnosed with PLS of the left fallopian tube in another hospital and had a wide excision of left fallopian tube mass, including total abdominal hysterectomy and bilateral salpingo-oophorectomy for left fallopian tube PLS. Presently, she has developed a recurrence and metastasis of PLS in the pelvic and abdominal cavities.
This may be the first case of primary fallopian tube PLS, wherein the prognosis of this patient was poor due to the high-grade malignancy of PLS.
脂肪肉瘤发生于脂肪组织，是最常见的软组织肉瘤之一。它大多出现在下肢，尤其是大腿和肢体带，其次是上肢、胸腹壁以及躯干内部和腹膜后。多形性脂肪肉瘤（PLS）是脂肪肉瘤的一种罕见亚型，被认为是一种高级别恶性肿瘤。
我们报告一例47岁女性左侧输卵管原发性PLS病例。10个月前，她在另一家医院被诊断为左侧输卵管PLS，并对左侧输卵管肿块进行了广泛切除，包括全腹子宫切除术和双侧输卵管卵巢切除术以治疗左侧输卵管PLS。目前，她已出现盆腔和腹腔内PLS的复发和转移。
这可能是首例原发性输卵管PLS病例，由于PLS的高级别恶性，该患者预后较差。
