Trajkovski Gjorgji, Antovic Svetozar, Kostovski Ognen, Trajkovska Vanja, Nikolovski Andrej
University Clinic Digestive Surgery, Clinical Center "Mother Theresa", Skopje, North Macedonia.
University Clinic for Traumatology, Orthopedic disease, Anesthesiology, Reanimation and Intensive care and Emergency department, Clinical Center "Mother Theresa", Skopje, North Macedonia.
Radiol Case Rep. 2022 Aug 27;17(11):4091-4095. doi: 10.1016/j.radcr.2022.07.107. eCollection 2022 Nov.
Retroperitoneal liposarcomas are diagnostic and therapeutic challenge due to their expansive growth and tendency for recurrence. They represent the most of the sarcomas of the retroperitoneal space with the incidence of 41%. Most of them can grow in large proportions before symptom occurrence and change the anatomy of the retroperitoneum. Computerized tomography remains the main diagnostic tool in such cases that provides precise tumor location, size and relation to the adjacent organs. Surgery is the method of choice for treatment. Nevertheless, they tend to recur in 50%-80% of patients despite the appropriate surgery. We present a case of giant retroperitoneal liposarcoma in a female patient with significant left kidney displacement that recurred within 5 years of its removal.
腹膜后脂肪肉瘤因其呈浸润性生长且易于复发，在诊断和治疗方面颇具挑战。它们是腹膜后间隙最常见的肉瘤，发病率为41%。大多数此类肿瘤在出现症状前就能长得很大，并改变腹膜后的解剖结构。在这种情况下，计算机断层扫描仍是主要的诊断工具，它能提供精确的肿瘤位置、大小以及与相邻器官的关系。手术是首选的治疗方法。然而，尽管进行了适当的手术，仍有50%-80%的患者会复发。我们报告一例巨大腹膜后脂肪肉瘤的女性患者，其左肾明显移位，肿瘤切除后5年内复发。
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