Hsiao J C, Yang Y C, Lin W C, Lin Y N, Wang K G
Department of Obstetrics and Gynaecology, Mackay Memorial Hospital, Taipei, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi (Taipei). 1998 May;61(5):295-300.
Primary retroperitoneal liposarcoma is a rare malignancy comprising about only 0.1% of all cancers. It produces nonspecific symptoms and is often extensive when diagnosed. In this report, we present a case of a 68-year-old female patient who had a 29-kg retroperitoneal liposarcoma. Her early symptoms--including vague digestive disturbances, increasing abdominal girth and an abdominal mass, and clinical examinations such as sonography and computed tomography scan led to a preoperative diagnosis of ovarian cancer, until surgical and pathologic confirmation. Gross, radical resection of the tumor was successfully performed, and provided the most effective primary therapeutic approach. Histopathology revealed a mixed-type liposarcoma, with metastasis to the appendix. A poor prognosis was expected. Postoperative periodic follow-up was started to monitor for early detection of recurrence.
原发性腹膜后脂肪肉瘤是一种罕见的恶性肿瘤，仅占所有癌症的约0.1%。它会产生非特异性症状，确诊时往往已广泛扩散。在本报告中，我们介绍了一例68岁女性患者，其患有一个29千克的腹膜后脂肪肉瘤。她的早期症状包括模糊的消化功能紊乱、腹围增加和腹部肿块，以及超声和计算机断层扫描等临床检查，这些检查在手术和病理确诊之前导致术前诊断为卵巢癌。大体上，成功进行了肿瘤的根治性切除，这是最有效的主要治疗方法。组织病理学显示为混合型脂肪肉瘤，并已转移至阑尾。预计预后不良。术后开始定期随访，以监测复发的早期发现。
