Weinberger H A, Ahmed M S
Surgery. 1977 Nov;82(5):754-9.
Attention is drawn to the solitary solid tumors originating in the intra-abdominal mesenteries and in the omentum. These are rare lesions, each associated with an insidious onset and with a laterally ballotable mass frequently representing the only expression of disorder clinically. Some mesenchymal lesions have long eluded the pathologist and the surgeon in the frustration of firmly categorizing the predominant cellular involvement. At times there is an area of "spill-over" or of mixed tumor elements within the same lesion. Occasionally the lesion type is defined eventually only by recurrence and/or a lethal outcome attributable to tumor spread, regardless of its original cellular features. The management of four patients, two with omental tumors (leiomyoblastoma) and two with tumors of mesenteric origin (one patient with fibromatosis and the other with leiomyosarcoma), is presented from the 15 year experience of a large hospital facility. The uncomplicated diagnostic investigations are stressed as well as the essentiality of wide surgical resection to fully elaborate all morphologic features and to thwart recurrent disease in the future.
请注意起源于腹腔内肠系膜和大网膜的孤立实性肿瘤。这些是罕见病变，每一种都起病隐匿，临床上常表现为可向外侧推动的肿块，这往往是疾病的唯一表现。一些间质性病变长期以来让病理学家和外科医生感到困惑，难以确切归类主要的细胞受累情况。有时在同一病变内存在“溢出”区域或混合肿瘤成分。偶尔，病变类型最终只能通过复发和/或肿瘤扩散导致的致命结局来定义，而不管其原始细胞特征如何。本文根据一家大型医院机构15年的经验，介绍了4例患者的治疗情况，其中2例为大网膜肿瘤（平滑肌瘤），2例为肠系膜起源肿瘤（1例为纤维瘤病，另1例为平滑肌肉瘤）。文中强调了简单的诊断检查以及广泛手术切除的必要性，以充分阐明所有形态学特征并防止未来疾病复发。
