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巨大腹膜后脂肪肉瘤的挑战性外科治疗:一例报告

Challenging surgical treatment of giant retroperitoneal liposarcoma: A case report.

作者信息

Wei Xiaoyi, Qin Yujie, Ouyang Song, Qian Jun, Tu Song, Yao Jiaxi

机构信息

Department of Urology, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China.

Department of Endoscopy Center, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China.

出版信息

Oncol Lett. 2022 Jul 15;24(3):314. doi: 10.3892/ol.2022.13434. eCollection 2022 Sep.

Abstract

Liposarcoma is a rare malignant tumor type and surgical resection is the gold standard treatment. The present study reported on the case of a 51-year-old woman who presented with a mass in the left upper abdomen. Computed tomography revealed a 32-cm giant retroperitoneal liposarcoma. Complete tumor resection was performed without the removal of other organs. Postoperative pathological examination indicated retroperitoneal well-differentiated liposarcoma and immunohistochemistry revealed S-100(-), MDM2(+), vimentin(+), CDK4(+), p16(+) and STAT6(+) results. The patient recovered well after the surgery. Complete tumor resection during the first surgery is key to cure liposarcoma. The present case report will be helpful for clinical oncologists to fully understand giant retroperitoneal liposarcoma and treat it accordingly.

摘要

脂肪肉瘤是一种罕见的恶性肿瘤类型,手术切除是其金标准治疗方法。本研究报告了一名51岁女性的病例,该患者左上腹出现肿块。计算机断层扫描显示一个32厘米的巨大腹膜后脂肪肉瘤。在未切除其他器官的情况下进行了肿瘤完整切除。术后病理检查显示为腹膜后高分化脂肪肉瘤,免疫组化结果显示S-100(-)、MDM2(+)、波形蛋白(+)、细胞周期蛋白依赖性激酶4(CDK4)(+)、p16(+)和信号转导子和转录激活子6(STAT6)(+)。患者术后恢复良好。首次手术时完整切除肿瘤是治愈脂肪肉瘤的关键。本病例报告将有助于临床肿瘤学家全面了解巨大腹膜后脂肪肉瘤并进行相应治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dcb/9353788/022694d4bc10/ol-24-03-13434-g00.jpg

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