Haft H, Wang G C
Department of Surgery, Delaware County Memorial Hospital, Drexel Hill, Pennsylvania.
Neurosurgery. 1988 Dec;23(6):777-80. doi: 10.1227/00006123-198812000-00021.
Metastatic liposarcomas to the brain are rare. The authors describe a patient with a 20-year history of liposarcoma originating in the thigh and metastatic to the brain 18 years later. The brain metastasis was removed by surgery. Nine months later, the patient developed metastases to the retroperitoneum and liver. At that same time, she had recurrent brain metastasis. She was then treated with chemotherapy. The abdominal mass shrank considerably in the beginning, and the recurrent brain metastases totally disappeared. The patient eventually succumbed to widespread liposarcoma. Autopsy revealed extensive liposarcoma involving the retroperitoneum, liver, and lung, but no trace of tumor was found in the brain.
脑转移性脂肪肉瘤很罕见。作者描述了一名患者,其大腿部脂肪肉瘤病史20年,18年后转移至脑部。脑转移瘤通过手术切除。9个月后,患者出现腹膜后和肝脏转移。与此同时,她又出现了脑转移复发。随后她接受了化疗。腹部肿块起初明显缩小,复发性脑转移瘤完全消失。患者最终死于广泛转移的脂肪肉瘤。尸检发现广泛的脂肪肉瘤累及腹膜后、肝脏和肺,但脑部未发现肿瘤痕迹。