Girardot-Miglierina A, Clerc D, Suter M
Department of Surgery, Riviera-Chablais Hospital , Monthey , Switzerland.
Ann R Coll Surg Engl. 2018 Apr;100(4):e88-e90. doi: 10.1308/rcsann.2018.0018. Epub 2018 Feb 27.
Liposarcoma is the most common soft tissue sarcoma in adults. Predominant locations are the limbs and retroperitoneum. Intra-abdominal liposarcoma represents only 2% of all cases and visceral location is exceptional. Gastric liposarcoma is extremely rare, with fewer than 20 cases reported. The treatment of choice is wide en-bloc surgical resection. If the tumour arises in the area of the cardia, resection involves resection of the proximal stomach as well as the distal oesophagus. Traditional reconstruction with oesophagogastrostomy often leads to troublesome reflux. We report a case of gastric liposarcoma arising in the gastro-oesophageal junction in a severely obese patient.
脂肪肉瘤是成人最常见的软组织肉瘤。主要发病部位是四肢和腹膜后。腹腔内脂肪肉瘤仅占所有病例的2%，发生于内脏的情况极为罕见。胃脂肪肉瘤极其罕见，报告的病例少于20例。首选的治疗方法是广泛整块手术切除。如果肿瘤发生在贲门区域，切除范围包括近端胃以及远端食管。传统的食管胃吻合术重建常常导致严重的反流问题。我们报告一例严重肥胖患者胃食管交界处发生胃脂肪肉瘤的病例。
