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頁籤選單縮合
題名 | Multifocal Retroperitoneal Malignant Fibrous Histiocytoma: A Case Report=多發性後腹腔惡性纖維組織細胞瘤:一病例報告 |
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作者 | 盧誌明; 余家政; 王志生; 李瀛輝; 黃榮慶; Lu, Chih-ming; Yu, Chia-cheng; Wang, Jyh-seng; Lee, Ying-huei; Huang, Jong-khing; |
期刊 | 中華醫學雜誌 |
出版日期 | 19980200 |
卷期 | 61:2 1998.02[民87.02] |
頁次 | 頁104-109 |
分類號 | 415.138 |
語文 | eng |
關鍵詞 | 惡性纖維組織細胞瘤; 後腹腔; 軟組織瘤; Fibrous histiocytoma; Malignant; Retroperitoneum; Soft tissue tumor; |
中文摘要 | 本文報告一例多發性後腹腔惡性纖維組織細胞瘤患者。惡性纖維組織細胞瘤在病理學上是軟組織肉瘤的一種,好犯四肢及驅幹部。後腹腔惡性纖維組織細胞瘤並不常見。在文獻上,與腎臟有關的報告只有十四例。惡性纖維組織細胞瘤在臨床影像學上,無法與其他後腹腔腫瘤做鑑別診斷。惡性纖維組織細胞瘤的治療應採用手術切除,而放射線療法與化學療法的成效仍有爭議。犯及後腹腔的惡性纖維組織細胞瘤預後不佳。我們的患者是因右腹痛至急診求治,由腹部超音波檢查意外發現,術前無法由電腦斷層攝影術或磁振造影確定腫瘤的特性。病人接受腫瘤切除術。目前(距手術後十六個月)病人仍然存活。 |
英文摘要 | 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. |
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