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1
Tumour in a tumour: a well-differentiated spindle cell sarcoma within a forearm lipoma.瘤中瘤：前臂脂肪瘤内的高分化梭形细胞肉瘤。
BMJ Case Rep. 2019 Jan 10;12(1):bcr-2018-227533. doi: 10.1136/bcr-2018-227533.
2
Epithelioid sarcoma of the forearm.前臂上皮样肉瘤
Australas Radiol. 1996 Aug;40(3):254-6. doi: 10.1111/j.1440-1673.1996.tb00397.x.
3
Soft Tissue Tumors of the Extremity.四肢软组织肿瘤
Surg Clin North Am. 2020 Jun;100(3):669-680. doi: 10.1016/j.suc.2020.02.015. Epub 2020 Apr 13.
4
Intramuscular Epithelioid Sarcoma Presenting as Extrinsic Flexor Tightness in the Forearm.表现为前臂外在屈肌紧张的肌内上皮样肉瘤
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Lipoma arborescens of the bicipitoradial bursa.肱桡滑囊的树枝状脂肪瘤。
Skeletal Radiol. 2018 Apr;47(4):549-551. doi: 10.1007/s00256-017-2800-9. Epub 2017 Oct 28.
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Lipomatous Soft-tissue Tumors.脂肪性软组织肿瘤。
J Am Acad Orthop Surg. 2018 Nov 15;26(22):779-788. doi: 10.5435/JAAOS-D-17-00045.
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Combined classical spindle cell/pleomorphic lipoma spectrum imaging and clinical data.结合经典梭形细胞/多形性脂肪瘤谱系成像与临床数据。
Skeletal Radiol. 2018 Jan;47(1):51-59. doi: 10.1007/s00256-017-2751-1. Epub 2017 Aug 19.
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Giant lipomatous tumours of the hand and forearm.手部和前臂的巨大脂肪瘤性肿瘤。
J Hand Surg Br. 2005 Oct;30(5):509-12. doi: 10.1016/j.jhsb.2005.05.002.
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Spindle cell lipoma.梭形细胞脂肪瘤
Acta Pathol Microbiol Scand A. 1976 Nov;84(6):477-87. doi: 10.1111/j.1699-0463.1976.tb00145.x.
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Ultrasound characteristics of five common soft-tissue tumours in the hand and forearm.手部和前臂五种常见软组织肿瘤的超声特征。
Acta Radiol. 1997 May;38(3):348-54. doi: 10.1080/02841859709172081.

本文引用的文献

1
Soft tissue and visceral sarcomas: ESMO-EURACAN Clinical Practice Guidelines for diagnosis, treatment and follow-up.软组织和内脏肉瘤：ESMO-EURACAN诊断、治疗及随访临床实践指南
Ann Oncol. 2018 Oct 1;29(Suppl 4):iv51-iv67. doi: 10.1093/annonc/mdy096.
2
Multiple Soft Tissue Sarcomas in a Single Patient: An International Multicentre Review.一名患者的多发性软组织肉瘤：一项国际多中心综述
Sarcoma. 2018 Apr 1;2018:5392785. doi: 10.1155/2018/5392785. eCollection 2018.
3
UK guidelines for the management of soft tissue sarcomas.英国软组织肉瘤管理指南。
Clin Sarcoma Res. 2016 Nov 15;6:20. doi: 10.1186/s13569-016-0060-4. eCollection 2016.
4
If your lump is bigger than a golf ball and growing, think Sarcoma.如果你的肿块比高尔夫球还大且在不断生长，就要考虑肉瘤。
Eur J Surg Oncol. 2015 Oct;41(10):1400-5. doi: 10.1016/j.ejso.2015.05.017. Epub 2015 Jun 18.
5
Suspected adipose tumours of the hand and the potential risk for malignant transformation to sarcoma: a series of 14 patients.手部疑似脂肪肿瘤及恶变为肉瘤的潜在风险：14例患者系列研究
Arch Orthop Trauma Surg. 2015 May;135(5):731-6. doi: 10.1007/s00402-015-2170-5. Epub 2015 Mar 4.
6
Giant lipomas of the upper extremity.上肢巨大脂肪瘤
Can J Plast Surg. 2007 Fall;15(3):141-4. doi: 10.1177/229255030701500308.
7
Size matters for sarcomas!肉瘤的大小很关键！
Ann R Coll Surg Engl. 2006 Oct;88(6):519-24. doi: 10.1308/003588406X130651.
8
Clinical outcomes of deep atypical lipomas (well-differentiated lipoma-like liposarcomas) of the extremities.四肢深部非典型脂肪瘤（高分化脂肪瘤样脂肪肉瘤）的临床结局
ANZ J Surg. 2005 Sep;75(9):803-6. doi: 10.1111/j.1445-2197.2005.03519.x.
9
Palmar atypical lipomatous tumour with spindle cell features (well-differentiated spindle cell liposarcoma): a rare neoplasm arising in an unusual anatomical location.具有梭形细胞特征的手掌部非典型脂肪瘤性肿瘤（高分化梭形细胞脂肪肉瘤）：一种发生于不寻常解剖部位的罕见肿瘤。
Virchows Arch. 2005 Mar;446(3):300-4. doi: 10.1007/s00428-004-1138-6. Epub 2005 Feb 18.
10
From the archives of the AFIP: benign musculoskeletal lipomatous lesions.来自武装部队病理研究所档案：良性肌肉骨骼脂肪瘤性病变
Radiographics. 2004 Sep-Oct;24(5):1433-66. doi: 10.1148/rg.245045120.

瘤中瘤：前臂脂肪瘤内的高分化梭形细胞肉瘤。

Tumour in a tumour: a well-differentiated spindle cell sarcoma within a forearm lipoma.

作者信息

Wadkin James C R, Senes Sebastian, Evans Scott, Stevenson Jonathan

机构信息

Kingston Hospital NHS Foundation Trust, Kingston upon Thames, UK.

Department of Orthopaedics, Hospital Britanico de Buenos Aires, Buenos Aires, Argentina.

出版信息

BMJ Case Rep. 2019 Jan 10;12(1):bcr-2018-227533. doi: 10.1136/bcr-2018-227533.

DOI:10.1136/bcr-2018-227533
PMID:30635310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6340536/
Abstract

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.

摘要

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。