Wadkin James C R, Senes Sebastian, Evans Scott, Stevenson Jonathan
Kingston Hospital NHS Foundation Trust, Kingston upon Thames, UK.
Department of Orthopaedics, Hospital Britanico de Buenos Aires, Buenos Aires, Argentina.
BMJ Case Rep. 2019 Jan 10;12(1):bcr-2018-227533. doi: 10.1136/bcr-2018-227533.
Lipomas are common, benign, soft tissue masses in adults. Sarcomatous change within a giant lipoma is a very rare event. We present a case of a woman presenting with a forearm lipoma that subsequently developed a central, well-differentiated, spindle-cell sarcoma within the lipoma. This case underlines the importance of identifying red flags for referral of soft tissue tumours.
脂肪瘤在成年人中是常见的良性软组织肿块。巨大脂肪瘤内发生肉瘤样变是非常罕见的情况。我们报告一例女性患者,其前臂出现脂肪瘤,随后该脂肪瘤内发生了中央型、高分化的梭形细胞肉瘤。该病例强调了识别软组织肿瘤转诊危险信号的重要性。