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揭开黏液样脂肪肉瘤之谜:保肢手术中的诊断挑战与多学科成就

Unveiling the enigma of myxoid liposarcoma: Diagnostic challenges and multidisciplinary triumphs in limb-salvage surgery.

作者信息

Nasir Ikhwan, Yeap Boon Tat, Koo Thai Hau, Paul Aaron Gerarde, Zakaria Mohd Hazeman

机构信息

Department of Anaesthesiology and Intensive Care, Hospital Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

出版信息

Radiol Case Rep. 2025 Aug 18;20(11):5569-5573. doi: 10.1016/j.radcr.2025.07.039. eCollection 2025 Nov.

Abstract

Liposarcoma is a rare soft-tissue sarcoma accounting for about 5% of adult cases; myxoid liposarcoma is the second most common subtype and typically arises in the lower extremities (especially the thigh). We report the case of a 48-year-old woman who presented with a rapidly enlarging, painful mass in the left thigh over 1 year, which was confirmed to be a myxoid liposarcoma on histopathological examination. The patient underwent wide local excision of the tumor with clear margins; she had an uncomplicated postoperative course and remained disease-free at 6 months of follow-up. This case highlights the importance of thorough imaging evaluation and biopsy for accurate diagnosis of soft-tissue masses, as well as the need for complete surgical resection and diligent long-term surveillance in myxoid liposarcoma.

摘要

脂肪肉瘤是一种罕见的软组织肉瘤,约占成人病例的5%;黏液样脂肪肉瘤是第二常见的亚型,通常发生在下肢(尤其是大腿)。我们报告了一例48岁女性,她在1年多的时间里左大腿出现一个迅速增大、疼痛的肿块,经组织病理学检查确诊为黏液样脂肪肉瘤。患者接受了肿瘤广泛局部切除,切缘清晰;术后过程顺利,随访6个月时无疾病复发。该病例强调了全面的影像学评估和活检对于准确诊断软组织肿块的重要性,以及黏液样脂肪肉瘤完整手术切除和长期密切监测的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/119d/12395971/1c9a1db07cc4/gr1.jpg

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