Mikamori Manabu, Tanemura Masahiro, Furukawa Kenta, Saito Takuro, Ohtsuka Masahisa, Suzuki Yozo, Imasato Mitsunobu, Kishi Kentaro, Akamatsu Hiroki
Dept. of Surgery, Osaka Police Hospital.
Gan To Kagaku Ryoho. 2019 Dec;46(13):1948-1950.
A 75-year-old man presented with a fever. Computed tomography revealed a 10 cm solid tumor under the duodenum. A pre-operative diagnosis of liposarcoma was established using biopsy. Pancreaticoduodenectomy was performed, and the pathological examination led to the diagnosis of dedifferentiation type liposarcoma. Two years later, the liposarcoma recurred at the remnant pancreas. A total remnant pancreatectomy was performed. The pathological examination revealed dedifferentiated type liposarcoma and positive surgical margins. Therefore, radiotherapy of 59.4 Gy in 33 fractions was performed at the recurrence area. The patient has been recurrence-free from 1 year 6 months since the second operation.
一名75岁男性因发热就诊。计算机断层扫描显示十二指肠下方有一个10厘米的实性肿瘤。通过活检确立了脂肪肉瘤的术前诊断。实施了胰十二指肠切除术，病理检查诊断为去分化型脂肪肉瘤。两年后，脂肪肉瘤在残余胰腺复发。进行了全残余胰腺切除术。病理检查显示为去分化型脂肪肉瘤且手术切缘阳性。因此，在复发部位进行了33次分割、总剂量59.4 Gy的放射治疗。自第二次手术以来，患者已无复发1年6个月。
