附睾脂肪肉瘤腹膜后及腹腔内转移1例报告并文献复习

发布时间：2018-04-15 17:08

本文选题：附睾 + 脂肪肉瘤　；参考：《中华男科学杂志》2017年12期

【摘要】：目的:报告1例罕见的附睾脂肪肉瘤伴腹膜后及腹腔内多次转移病例,提高对本病的诊治水平。方法:回顾分析1例附睾脂肪肉瘤伴腹膜后及腹腔内多次转移患者的临床资料,结合国内外相关文献,探讨附睾脂肪肉瘤的临床表现、诊断及治疗。结果:经腹股沟切口行根治性高位睾丸切除术完整切除肿瘤,10年后出现腹膜后复发转移,肿块上至肾脏上极,下达盆腔,大小15.6 cm×9.4 cm×25.5 cm,包裹左肾及输尿管上段,行左肾及输尿管全长、腹膜后肿瘤切除手术,4年后再次出现腹膜后、腹腔内多发复发转移灶,再次行手术切除,随访1年,死于肺功能衰竭。结论:附睾脂肪肉瘤极为罕见,仔细的临床体检和影像学检查可协助诊断,但最终需病理确诊,应早期行根治性手术切除。放化疗对附睾脂肪肉瘤的作用存在争议。本病有较高的复发率,长期的密切随访是必要的。
[Abstract]:Objective: to report a rare case of epididymal liposarcoma with retroperitoneal and intraperitoneal metastasis in order to improve the diagnosis and treatment of the disease.Methods: the clinical data of a case of epididymal liposarcoma with retroperitoneal and intraperitoneal metastases were retrospectively analyzed and the clinical manifestations, diagnosis and treatment of epididymal liposarcoma were discussed.Results: radical high orchiectomy was performed through inguinal incision. 10 years later, retroperitoneal recurrence and metastasis occurred. The tumor reached the upper pole of the kidney and reached the pelvic cavity. The size of the tumor was 15.6 cm 脳 9.4 cm 脳 25.5 cm, which wrapped the left kidney and the upper ureter.The whole length of left kidney and ureter was performed, the retroperitoneal tumor was resected. 4 years later, there were multiple recurrence and metastasis foci in the abdominal cavity. The patients were followed up for 1 year and died of pulmonary failure.Conclusion: epididymal liposarcoma is very rare. Careful clinical examination and imaging examination can be helpful in diagnosis, but it is necessary to make the final diagnosis by pathology, and radical resection should be carried out early.The effect of radiotherapy and chemotherapy on epididymal liposarcoma is controversial.This disease has a high recurrence rate, long-term close follow-up is necessary.
【作者单位】：南京医科大学附属上海一院临床医学院泌尿外科;绍兴市人民医院泌尿外科;
【分类号】：R737.21

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