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阴囊高分化脂肪肉瘤与去分化低级别黏液纤维肉瘤并存。1例罕见病例及文献复习

Coexistance of a well differentiated liposarcoma and dedifferentiated low grade myxofibrosarcoma of the scrotum. A rare case and review of the literature.

作者信息

Xenaki S, Panagiotakis G, Lagoudaki H, Tzardi M, Chrysos E, Petrakis J

出版信息

G Chir. 2019 Nov-Dec;40(6):526-529.

Abstract

Liposarcoma is a malignant soft tissue sarcoma usually located in the thigh or the posterior peritoneum in an adult. However, the occurrence of liposarcoma, and indeed a coexistance with scrotal myxofibrosarcoma, is rare. We present an interesting case of a 56-year old male who presented with an inguinal hernia. During the operation a massive fibro-elastic mass located within the left scrotum was noticed which deposited the testicle upward by displacing it into a sack rather than the penis. The mass did not come into contact with the spermatic cord but alongside it the existence of the blood vessels of the mass was found. The histopathological examination revealed a well differentiated liposarcoma along with dedifferentiated low grade myxofibrosarcoma.

摘要

脂肪肉瘤是一种恶性软组织肉瘤,在成年人中通常位于大腿或腹膜后。然而,脂肪肉瘤的发生,以及与阴囊黏液纤维肉瘤的共存情况确实罕见。我们报告一例有趣的病例,一名56岁男性因腹股沟疝就诊。手术过程中,发现左侧阴囊内有一个巨大的纤维弹性肿块,该肿块将睾丸向上推移,使其进入一个囊袋而非阴茎。肿块未与精索接触,但在其旁边发现了肿块的血管。组织病理学检查显示为高分化脂肪肉瘤伴去分化低级别黏液纤维肉瘤。

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