外阴脂肪肉瘤：一例报告
Liposarcoma of the vulva: a case report.
作者信息
Rogers R G, Thorp J M
机构信息
Department of Obstetrics and Gynecology, University of North Carolina Hospitals and School of Medicine at Chapel Hill, USA.
出版信息
J Reprod Med. 1995 Dec;40(12):863-4.
BACKGROUND
Vulvar liposarcoma is rare. Three cases have been reported since 1966. Primary sarcomas of the vulva constitute 1-2% of all vulvar malignancies. Because of their location and appearance, they may be easily misdiagnosed as a more benign process.
CASE
A 65-year-old, black woman had a vulvar lesion that appeared clinically to be a Bartholin's gland abscess. The lesion was a soft tissue mass, was excised in toto and was sent for pathologic study with a presumed diagnosis of lipoma. The pathology report indicated pleomorphic liposarcoma.
CONCLUSION
Only three prior cases of this disease have been reported. The clinician should heighten his or her awareness in a patient with a vulvar mass. Early diagnosis is imperative for a favorable outcome.
背景
外阴脂肪肉瘤罕见。自1966年以来已有3例报道。外阴原发性肉瘤占所有外阴恶性肿瘤的1% - 2%。由于其位置和外观，它们可能很容易被误诊为更良性的病变。
病例
一名65岁的黑人女性有一个外阴病变，临床上看似巴氏腺脓肿。该病变为软组织肿块，完整切除后送去做病理研究，初步诊断为脂肪瘤。病理报告显示为多形性脂肪肉瘤。
结论
此前仅报道过3例该疾病。临床医生对于有外阴肿块的患者应提高警惕。早期诊断对于取得良好预后至关重要。
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