Department of Radiotherapy, The Second Hospital of Jilin University, Changchun Jilin, China.
Department of General Surgery, The Second Hospital of Jilin University, Changchun Jilin, China.
J Int Med Res. 2021 Dec;49(12):3000605211063085. doi: 10.1177/03000605211063085.
Primary retroperitoneal liposarcoma (PRPLS) is a rare malignant tumor with a low incidence. A 34-year-old female patient presented to our department with abdominal pain, nausea, and vomiting for 2 days. Abdominal computed tomography (CT) indicated a huge mass between the liver and kidney, with a clear boundary and measuring approximately 202 mm × 155 mm ×106 mm. The mass was considered a retroperitoneal lipoma or liposarcoma. The entire tumor was completely resected without auxiliary injury, and histopathology of the resected specimen indicated liposarcoma. The patient recovered well and was discharged from our department on the 6th postoperative day. No signs of relapse were seen during 1-year of follow-up. PRPLS is rare and without obvious symptoms in the early stage. CT plays a vital role in the diagnosis of PRPLS, and surgical resection is considered the most suitable treatment. Radiotherapy and chemotherapy might also be treatment options to improve the overall survival of PRPLS patients.
原发性腹膜后脂肪肉瘤(PRPLS)是一种罕见的恶性肿瘤,发病率较低。一位 34 岁女性患者因腹痛、恶心和呕吐 2 天到我科就诊。腹部 CT 提示肝肾间隙巨大肿块,边界清楚,大小约 202mm×155mm×106mm,考虑为腹膜后脂肪瘤或脂肪肉瘤。整块肿瘤完整切除,无辅助损伤,切除标本的组织病理学检查提示脂肪肉瘤。患者术后恢复良好,术后第 6 天出院。随访 1 年未见复发迹象。PRPLS 较为罕见,早期无明显症状。CT 在 PRPLS 的诊断中发挥着重要作用,手术切除被认为是最适合的治疗方法。放疗和化疗也可能是改善 PRPLS 患者总体生存率的治疗选择。