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超越良性:黏液样多形性脂肪肉瘤1例罕见病例报告

Beyond the benign: A rare case report of myxoid pleomorphic liposarcoma.

作者信息

Ahmad Arslan, Ammar Muhammad, Choudary Muhammad Hasnain Saleem, Sadiq Muhammad Nouman, Ahmad Rana Uzair, Aziz Nouman

机构信息

Mayo Hospital, Anarkali, Lahore, 54000, Punjab, Pakistan.

出版信息

Radiol Case Rep. 2025 Mar 8;20(5):2500-2508. doi: 10.1016/j.radcr.2025.01.056. eCollection 2025 May.

Abstract

Myxoid pleomorphic liposarcoma is a rare and aggressive subtype of soft tissue sarcomas (STS). It primarily arises from adipose tissue and exhibits a high rate of recurrence and metastatic potential. We report the case of a 35-year-old male gym trainer with a 5-month history of a painless, progressively enlarging mass on the right posterior aspect of chest, diagnosed with myxoid pleomorphic liposarcoma following imaging and histopathological evaluation of the excised specimen. Surgical excision with clear margins and adjuvant radiotherapy resulted in a favorable outcome with no recurrence at 7 months. This case emphasizes the importance of early diagnosis and multidisciplinary approach in managing a rare soft tissue sarcoma to prevent complications from a delayed intervention.

摘要

黏液样多形性脂肪肉瘤是一种罕见且侵袭性强的软组织肉瘤(STS)亚型。它主要起源于脂肪组织,具有较高的复发率和转移潜能。我们报告了一例35岁男性健身教练的病例,其右侧胸后无痛性、进行性增大肿块已有5个月病史,经对切除标本进行影像学和组织病理学评估后诊断为黏液样多形性脂肪肉瘤。手术切缘阴性并辅助放疗,结果良好,7个月时无复发。该病例强调了早期诊断和多学科方法在管理罕见软组织肉瘤以预防延迟干预导致并发症方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6568/11930413/ce3e01e6e2fd/gr1.jpg

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