Maeda Yuto, Miyamoto Yuji, Hiyoshi Yukiharu, Eto Kojiro, Iwatsuki Masaaki, Iwagami Shiro, Baba Yoshifumi, Yoshida Naoya, Baba Hideo
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556 Japan.
Int Cancer Conf J. 2022 Aug 1;11(4):275-279. doi: 10.1007/s13691-022-00560-z. eCollection 2022 Oct.
Liposarcoma includes tumors with a wide range of malignancies, from mostly benign to malignant. We report a case of a 73 year-old man who was admitted for urination and defecation disorder. Contract computed tomography (CT) revealed a mass of approximately 21 cm occupying the pelvis, bladder, ureter, prostate, and rectum being compressed by the tumor. Since intraoperative mass bleeding was predicted, we embolized the tumor nutrition artery and performed a total pelvic exenteration. Regarding the course of the operation, SSI and pelvic infection were developed after the operation. The patient was discharged 21 days after surgery. Moreover, there is no evidence of local recurrence and distant metastasis at 18 months after surgery. Furthermore, in giant pelvic liposarcoma, it is useful to identify a nutritional artery of a giant tumor by angiography before surgery, and surgical resection can be safely done by performing preoperative transcatheter arterial embolization.
脂肪肉瘤包括一系列恶性程度广泛的肿瘤，从大多为良性到恶性。我们报告一例73岁男性患者，因排尿和排便障碍入院。盆腔计算机断层扫描（CT）显示一个约21厘米的肿块，占据盆腔、膀胱、输尿管、前列腺和直肠，被肿瘤压迫。由于预计术中肿块会出血，我们对肿瘤营养动脉进行了栓塞，并进行了全盆腔脏器切除术。关于手术过程，术后发生了手术部位感染（SSI）和盆腔感染。患者术后21天出院。此外，术后18个月无局部复发和远处转移的证据。此外，在巨大盆腔脂肪肉瘤中，术前通过血管造影识别巨大肿瘤的营养动脉是有用的，并且通过术前经导管动脉栓塞可以安全地进行手术切除。
