Bdeir Mohamad, Vassos Nikolaos, Darwich Ali, Weis Cleo-Aron, Gravius Sascha, Renker Eva
Orthopädisch-Unfallchirurgisches Zentrum, Universitätsklinikum Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
Chirurgische Klinik, Universitätsklinikum Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Mannheim, Deutschland.
Orthopade. 2021 Jun;50(6):489-492. doi: 10.1007/s00132-021-04093-w. Epub 2021 Mar 17.
The undifferentiated pleomorphic sarcoma (UPS) is a part of the soft tissue sarcoma group and represents almost 10% of all soft tissue sarcomas. The case of a 49-year-old patient is presented who was diagnosed with a primary UPS in the left gluteus maximus muscle, which was treated with compartmental resection with adjuvant radiotherapy (60 Gy). During tumor follow-up (3 years later) a locoregional metastasis at an unusual location in the quadratus femoris muscle was detected, which was treated by in toto resection with intraoperative radiotherapy (10 Gy). The intra and postoperative outcome was without complications and without neurological deficits. In the last follow-up, 6 months postoperatively, the patient was free of tumors and symptoms.
未分化多形性肉瘤(UPS)是软组织肉瘤组的一部分,占所有软组织肉瘤的近10%。本文介绍了一名49岁患者的病例,该患者被诊断为左侧臀大肌原发性UPS,接受了辅助放疗(60 Gy)的间室切除术治疗。在肿瘤随访期间(3年后),在股方肌一个不寻常的位置发现了局部区域转移,通过术中放疗(10 Gy)的整块切除术进行治疗。术中和术后均无并发症,也无神经功能缺损。在术后6个月的最后一次随访中,患者无肿瘤且无症状。