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題 名 | Primary Retroperitoneal Liposarcoma Mimicking Ovarian Cancer: A Case Report=類似卵巢癌之原發性腹膜後惡性脂肪肉瘤:一病例報告 |
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作 者 | 蕭仁哲; 楊育正; 林文州; 林雲南; 王國恭; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:5 1998.05[民87.05] |
頁 次 | 頁295-300 |
分類號 | 415.57 |
關鍵詞 | 卵巢癌; 根除性切除手術; 腹膜後惡性脂肪肉瘤; Ovarian cancer; Radical surgery; Retroperitoneal liposarcoma; |
語 文 | 英文(English) |
中文摘要 | 原發性腹膜後惡性脂肪肉瘤為一罕見之惡性腫瘤,其發生率僅佔所有癌症之百分 之零點一。它的初期表現症狀並不明顯,故被診斷出時腫瘤常已侵犯至其他部位。在這篇報 告中,我們將討論一名患有重達29公斤的腹膜後惡性脂肪肉瘤之病例。病人之早期症狀如腸 胃不適、腹圍增加、腹部腫塊、超音波、電腦斷層等臨床檢查皆顯示其診斷可能為卵巢癌; 但術後發現卻是腹膜後惡性脂肪肉瘤。其後病人接受了成功的切除手術,但因組織學上顯示 其脂肪肉瘤為一混合型肉瘤,並且腫瘤已發生遠處轉移,術後之一般輔助治療如放射性治療 及化學治療對延長病人存活並無重大意義,不佳之癒後是可以預期的,惟術後定期追蹤以偵 測早期腫瘤之復發。 |
英文摘要 | 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 and 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. |
本系統中英文摘要資訊取自各篇刊載內容。