Arshad Wajiha, Maqbool Shahzaib, Kiany Javeria A, Raza Ali, Farooq Umer, Ali Qasim, Lee Ka Y
Department of Surgical Unit II, Holy Family Hospital, Rawalpindi, Pakistan.
J Surg Case Rep. 2023 Mar 7;2023(3):rjad106. doi: 10.1093/jscr/rjad106. eCollection 2023 Mar.
We report a case of retropharyngeal liposarcoma in a 53-year-old female, who had complaints of neck swelling accompanied with dysphagia, orthopnea and dysphonia. Clinical examination revealed huge multinodular swelling in front of neck with bilateral extension, more prominent on left side and moving with deglutition. The diagnosis of retropharyngeal liposarcoma was established following CT scan, MRI and incisional biopsy. Surgical excision of mass along with near total thyroidectomy was performed. Postoperative hospital stay was uneventful. She remained well in follow-up period of 1 year as well. In conclusion, retropharyngeal liposarcoma is a rare tumor. A review of the literature explores the reasons behind the late presentation as well as the difficulties in diagnosis and treatment of this rare tumor.
我们报告一例53岁女性的咽后脂肪肉瘤病例，该患者主诉颈部肿胀并伴有吞咽困难、端坐呼吸和声音嘶哑。临床检查发现颈部前方巨大的多结节性肿胀，向双侧延伸，左侧更明显，且随吞咽动作移动。经CT扫描、MRI及切开活检后确诊为咽后脂肪肉瘤。遂行肿物手术切除及近全甲状腺切除术。术后住院期间情况平稳。在1年的随访期内她也恢复良好。总之，咽后脂肪肉瘤是一种罕见肿瘤。文献综述探讨了该罕见肿瘤出现延迟表现的原因以及诊断和治疗方面的困难。
