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臀部转移性黏液样圆形细胞脂肪肉瘤:病例报告。

Metastatic myxoid round cell liposarcoma of the buttock: a case report.

机构信息

Department of Dermatology, Hospital Institute of Social Hygiene, Dakar, Senegal.

Department of Dermatology, Hospital Aristide Le Dantec, Dakar, Senegal.

出版信息

Pan Afr Med J. 2024 Jun 13;48:56. doi: 10.11604/pamj.2024.48.56.40400. eCollection 2024.

DOI:10.11604/pamj.2024.48.56.40400
PMID:39315063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11419573/
Abstract

Liposarcoma is a rare primitive mesenchymal tumor, developed at the expense of adipose tissue and with a preferential location in the thigh. We report an observation of liposarcoma in the buttock. A 56-year-old man, presented with a tumor of the right buttock for 2 years. Examination revealed an inflammatory, ulcerated tumor in the upper-external quadrant of the right buttock, measuring about 8 cm. Bilateral inguinal adenopathies were associated. The diagnostic hypotheses were: a squamous cell carcinoma, a cutaneous lymphoma, and cutaneous metastases. An anatomical examination confirmed the diagnosis of myxoid round-cell liposarcoma. The extension work-up appeared compatible with secondary pleuropulmonary, hepatic, cutaneous, and lymph node neoplastic localizations. The patient was treated with chemotherapy with the Adriamycin-carboplatin protocol. The evolution was rapidly fatal after a few weeks after the first course of chemotherapy. It should be evoked in front of any ulcerated tumor of the buttock.

摘要

脂肪肉瘤是一种罕见的原始间叶性肿瘤,由脂肪组织发展而来,优先发生于大腿。我们报告一例臀部脂肪肉瘤。患者男,56 岁,2 年前发现右臀部肿瘤。检查发现右臀部上外象限有一炎性溃疡肿瘤,大小约 8 厘米。双侧腹股沟淋巴结肿大。诊断假设为:鳞状细胞癌、皮肤淋巴瘤和皮肤转移。解剖检查证实为黏液样圆形细胞脂肪肉瘤。扩展工作符合继发性胸膜肺、肝、皮肤和淋巴结肿瘤定位。患者接受阿霉素-卡铂方案化疗。在第一疗程化疗后数周内,病情迅速恶化,导致死亡。在任何臀部溃疡性肿瘤的情况下,都应该考虑到这种疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/c5fd5393fa3e/PAMJ-48-56-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/d31644c57485/PAMJ-48-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/84988bd4628a/PAMJ-48-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/e01ca6315e3b/PAMJ-48-56-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/5eb9eaf443cb/PAMJ-48-56-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/c5fd5393fa3e/PAMJ-48-56-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/d31644c57485/PAMJ-48-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/84988bd4628a/PAMJ-48-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/e01ca6315e3b/PAMJ-48-56-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/5eb9eaf443cb/PAMJ-48-56-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98db/11419573/c5fd5393fa3e/PAMJ-48-56-g005.jpg

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本文引用的文献

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Prognostic factors for the recurrence of myxoid liposarcoma: 20 cases with up to 8 years follow-up.黏液样脂肪肉瘤复发的预后因素:20例患者长达8年的随访
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