Lu C M, Yu C C, Wang J S, Lee Y H, Huang J K
Department of Surgery, Veterans General Hospital-Kaohsiung, Taipei, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi (Taipei). 1998 Feb;61(2):104-9.
This report concerns a 67-year-old male with malignant fibrous histiocytoma arising from the psoas muscle and perirenal soft tissue. The tumor was considered a mesenchymal neoplasm. These are generally clinically and radiologically indistinguishable from other retroperitoneal tumors. This patient received en bloc resection of the retroperitoneal tumor and radical nephrectomy without adjuvant therapy. He underwent excision of a retroperitoneal cystic mass complicated with lymph leakage one year postoperatively. Discharged in a stable condition after one week of total parenteral nutrition, the patient remains disease-free 16 months postoperatively.
本报告涉及一名67岁男性,患有起源于腰大肌和肾周软组织的恶性纤维组织细胞瘤。该肿瘤被认为是一种间叶性肿瘤。这些肿瘤在临床和放射学上通常与其他腹膜后肿瘤难以区分。该患者接受了腹膜后肿瘤整块切除和根治性肾切除术,未进行辅助治疗。术后一年,他接受了腹膜后囊性肿块切除,该肿块并发淋巴漏。在接受一周的全胃肠外营养后病情稳定出院,患者术后16个月仍无疾病。