Powell Emma, Coveney Andrew, Hodder Rupert
Urology, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
Colorectal Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
BMJ Case Rep. 2025 Aug 26;18(8):e266121. doi: 10.1136/bcr-2025-266121.
We present a case of successful resection of a fourth recurrence of oligometastatic myxoid liposarcoma to the retroperitoneum. This case highlights the importance of centralised sarcoma centres with high surgical and patient volume, extensive perioperative work-up and the multidisciplinary management of patients with sarcoma. Perioperative work-up included a CT coronary angiogram, which identified intraventricular cardiac metastasis. The patient underwent a successful resection of the cardiac lesion prior to laparotomy, excision of right iliac fossa mass with en bloc ileocolic resection, excision of right adrenal metastasis and insertion of right JJ stent.
我们报告了一例成功切除腹膜后寡转移黏液样脂肪肉瘤第四次复发的病例。该病例凸显了拥有高手术量和高患者量的集中式肉瘤中心、广泛的围手术期检查以及肉瘤患者多学科管理的重要性。围手术期检查包括CT冠状动脉造影，其发现了心室内心脏转移。患者在剖腹手术前成功切除了心脏病变，整块切除右髂窝肿物并行回结肠切除术，切除右肾上腺转移灶并置入右输尿管支架。
