Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Asian J Endosc Surg. 2020 Jul;13(3):431-434. doi: 10.1111/ases.12737. Epub 2019 Jul 22.
Retroperitoneal cellular angiofibroma (RCA) is very rare, and the optimal treatment for RCA has not been established. We report the case of RCA in a 58-year-old man who underwent curative laparoscopy-assisted resection. Preoperative computed tomography showed heterogeneous enhancement of the 7 cm diameter tumor in the pelvis. A smaller (2.3 cm) mass was also detected in the small intestine. The preoperative diagnosis was peritoneal metastasis of the gastrointestinal tumor of the small intestine. The pelvic tumor was laparoscopically mobilized from the rectum, the left ureter, and the left internal iliac vessels. The tumor was excised by detachment from the urinary bladder in laparotomy. The pathological diagnosis was RCA. The tumor had not recurred by the 1-year follow-up. The laparoscopic approach thus might be useful for resection of RCA.
腹膜后细胞血管纤维瘤（RCA）非常罕见，其最佳治疗方法尚未确定。我们报告了一例 58 岁男性 RCA 患者，该患者接受了根治性腹腔镜辅助切除术。术前 CT 显示盆腔直径为 7cm 的肿瘤呈不均匀增强。还在小肠中发现了一个较小的（2.3cm）肿块。术前诊断为小肠胃肠道肿瘤的腹膜转移。通过腹腔镜从直肠、左输尿管和左髂内血管将盆腔肿瘤游离。剖腹手术时从膀胱上分离切除肿瘤。病理诊断为 RCA。术后 1 年随访时肿瘤未复发。因此，腹腔镜方法可能对 RCA 的切除有用。
