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胸壁多形性脂肪肉瘤:一种治疗颇具挑战性的罕见实体瘤。

Pleomorphic liposarcoma of chest wall: a rare entity with challenging management.

作者信息

Khan Yasir, Iqbal Sara, Fatimi Saulat

机构信息

Section of Cardiothoracic, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

出版信息

Asian Cardiovasc Thorac Ann. 2019 May;27(4):310-312. doi: 10.1177/0218492319834824. Epub 2019 Feb 26.

Abstract

Pleomorphic liposarcoma is the rarest subtype of liposarcoma, with a high recurrence rate and poor prognosis. We present the case of young man with a rapidly growing large anterior chest wall liposarcoma that was excised, but he suffered 3 local recurrences in one year, showing the aggressive nature of the disease. If not completely resected with a tumor-free margin, the patient may have to endure multiple extensive surgeries in quick succession, increasing the chances of metastasis and a fatal outcome. Pleomorphic liposarcoma should be radically excised along with radiotherapy and strict follow-up of such patients.

摘要

多形性脂肪肉瘤是脂肪肉瘤中最罕见的亚型,复发率高且预后差。我们报告一例年轻男性病例,其前胸壁有一个快速生长的巨大脂肪肉瘤,已被切除,但他在一年内出现了3次局部复发,显示出该疾病的侵袭性。如果没有在无瘤边缘完整切除,患者可能不得不接连忍受多次广泛手术,增加转移和致命结局的几率。多形性脂肪肉瘤应连同放疗一起进行根治性切除,并对这类患者进行严格随访。

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