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腹膜后去分化脂肪肉瘤临床病理分析

崔力方 罗成华 张继新 昌红 高颖 沈兵 张建英 郭洋 钟定荣

实用肿瘤杂志2012,Vol.27Issue(6):620-623,4.
实用肿瘤杂志2012,Vol.27Issue(6):620-623,4.

腹膜后去分化脂肪肉瘤临床病理分析

Clinicopathological ananlysis of retroperitoneal dedifferentiated liposarcoma

崔力方 1罗成华 2张继新 1昌红 1高颖 1沈兵 1张建英 1郭洋 1钟定荣3

作者信息

  • 1. 首都医科大学附属北京世纪坛医院病理科,北京100038
  • 2. 首都医科大学附属北京世纪坛医院结直肠外科,北京100038
  • 3. 北京协和医院病理科,北京100730
  • 折叠

摘要

Abstract

Objective To study the clinicopathologic characteristics of retroperitoneal dedifferentiated liposarcoma. Methods The clinical information, image data and pathologic features of 16 cases of retroperitoneal dedifferentiated liposarcoma were reviewed. The follow-up data available were analyzed. Results Among 16 cases, 10 came for treatment due to recurrence. CT showed clearly the size of the tumor and the extrusion effect to the surrounding organs. From the morphological observation, the tumor contained differentiated and dedifferentiated sarcoma, the following features may be found in dedifferentiated liposarcoma: fibrosarcoma, pleomorphic malignant fibrous histiocytoma-like, malignant peripheral nerve sheath tumor-like, leiomyosarcoma-like, rhabdomosarcoma-like, angiosarcoma-like, haemangiopericytoma-like. The tumor may contain one histological feature, or may contain several components. All 16 cases were treated with operation, 9 cases resected the tumor only, and other 7 cases removed the tumor and surrounding adherent organs. None recurred or metastasized after the surgery within the follow-up (3-24 months). Conclusion Dedifferentiated liposarcoma areas in DDL exhibit a variable histological picture, low-grade and high-grade sarcoma may coexist in the same tumor. Surgical resection is still the most effective treatment for DDLs to relieve symptoms and to prolong life.

关键词

脂肪肉瘤/病理学/腹膜后肿瘤/病理学/免疫组织化学/回顾性研究/随访研究

Key words

liposarcoma/pathology/ retroperitoneal neoplasms/pathology/ immunohistochemistry/ retrospective studies/ follow-up studies

分类

医药卫生

引用本文复制引用

崔力方,罗成华,张继新,昌红,高颖,沈兵,张建英,郭洋,钟定荣..腹膜后去分化脂肪肉瘤临床病理分析[J].实用肿瘤杂志,2012,27(6):620-623,4.

实用肿瘤杂志

OACSTPCD

1001-1692

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