Seenu V, Kriplani A K, Shukla N K, Raina V, Thakur K, Kapur B M
Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi.
Surg Today. 1995;25(5):447-50. doi: 10.1007/BF00311825.
We present herein two unusual cases of multicentric liposarcoma which highlight the problems associated with the management of this disease entity. When the surgeon is confronted with multicentric liposarcomas, it is necessary to define whether they are secondary tumors or independently arising multicentric liposarcomas, since the latter situation merits a more aggressive approach. Guidelines for this differentiation are suggested in the discussion following the case reports. Surgery, which is often multiple, remains the mainstay of treatment, although adjuvant chemotherapy and radiotherapy are also usually required.
我们在此呈现两例多中心性脂肪肉瘤的罕见病例，这些病例突出了与该疾病实体管理相关的问题。当外科医生面对多中心性脂肪肉瘤时，有必要确定它们是继发性肿瘤还是独立发生的多中心性脂肪肉瘤，因为后一种情况需要采取更积极的治疗方法。病例报告后的讨论中提出了这种鉴别的指导原则。手术通常需要多次进行，仍然是主要的治疗手段，尽管辅助化疗和放疗通常也必不可少。
