Kindblom L G, Angervall L, Jarlstedt J
Cancer. 1978 Aug;42(2):774-80. doi: 10.1002/1097-0142(197808)42:2<774::aid-cncr2820420249>3.0.co;2-s.
A clinicopathological study of 4 patients with liposarcoma in the neck treated surgically is presented. Three of the liposarcomas were located in the supraclavicular region, two to the right one to the left, and one appeared to the left in the back of the neck. Liposarcoma rarely involves the head and neck region. A survey is given of the few reported liposarcomas in this region. Two of the tumors in the present series were well differentiated, one of which recurred repeatedly. The other two tumors were round-cell and pleomorphic in type, both of which recurred. At the end of follow-up 11 and 9 years, the two patients with well-differentiated liposarcomas were alive. The other two patients had died after 5 and 4 years from intercurrent disease and metastatic spread, respectively. The histopathological basis for the diagnosis, distinguishing features of intramuscular (infiltrating) lipoma, hibernoma and spindle cell lipoma, as well as the treatment, are discussed.
本文介绍了4例经手术治疗的颈部脂肪肉瘤患者的临床病理研究。其中3例脂肪肉瘤位于锁骨上区域，右侧2例，左侧1例，1例出现在左侧颈后部。脂肪肉瘤很少累及头颈部区域。本文对该区域少数已报道的脂肪肉瘤进行了综述。本系列中的2例肿瘤为高分化型，其中1例反复复发。另外2例肿瘤为圆形细胞型和多形性型，均复发。在随访11年和9年结束时，2例高分化脂肪肉瘤患者存活。另外2例患者分别在5年和4年后死于并发疾病和转移扩散。文中还讨论了诊断的组织病理学依据、肌内（浸润性）脂肪瘤、冬眠瘤和梭形细胞脂肪瘤的鉴别特征以及治疗方法。
