Zarokosta Maria, Foutsitzi Aikaterini, Roditis Spyridon, Karanasiou Vasilissa, Nannou Eirini, Mariolis-Sapsakos Theodoros
Anatomy and Histology Laboratory, Nursing School, University of Athens, Athens, Greece.
J Surg Case Rep. 2021 Jun 12;2021(6):rjab120. doi: 10.1093/jscr/rjab120. eCollection 2021 Jun.
Liposarcomas constitute rare malignant tumors of the soft tissue, with wide anatomical distribution. The prompt diagnosis of a liposarcoma is extremely challenging since these tumors tend to remain asymptomatic, until they grow enough to displace adjacent anatomical structures. In the presented case, a 55-year-old Caucasian male proceeded to our institution complaining about irreducible swelling of the right iliac fossa and constant discomfort, over the course of a year. His medical history revealed injury of the right groin and pelvis a year ago. The diagnosis was ilioinguinal liposarcoma masquerading as hematoma, due to the previous injury. The patient underwent primary complete tumor resection, and the operation was uneventful. The essential diagnostic and surgical steps for the management of a liposarcoma, mimicking a hematoma are meticulously described.
脂肪肉瘤是罕见的软组织恶性肿瘤，解剖分布广泛。脂肪肉瘤的快速诊断极具挑战性，因为这些肿瘤往往没有症状，直到它们长得足够大，足以移位相邻的解剖结构。在本病例中，一名55岁的白种男性在一年的时间里因右髂窝不可复位肿胀和持续不适前来我院就诊。他的病史显示一年前右腹股沟和骨盆受过伤。诊断为因先前受伤而伪装成血肿的髂腹股沟脂肪肉瘤。患者接受了肿瘤初次完整切除，手术过程顺利。本文详细描述了将脂肪肉瘤误诊为血肿时的基本诊断和手术步骤。
