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Primary omental pleomorphic liposarcoma identified at autopsy in a living donor kidney transplant recipient

机译:在活体供体肾移植受者的尸检中鉴定出原发性网膜多形性脂肪肉瘤

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摘要

Metastatic and recurrent tumors of the omentum are common, but primary omental pleomorphic liposarcoma (POPL) is an extremely rare type of solid omental tumor. We describe the case of a patient with POPL who received a renal transplant from a living donor. Despite good allograft function, the volume of peritoneal fluid gradually increased. An exploratory laparotomy could not be performed because the patient was obese and developed hemodynamic instability. Therefore, a shunt was placed between the peritoneal cavity and the internal jugular vein using the Denver® shunt system; however, the patient died of respiratory insufficiency. On the basis of the autopsy results, we diagnosed the patient’s condition as POPL. We speculated that the malignancy did not originate directly from the donor cells. We report POPL in a living donor renal transplant recipient.
机译:大网膜的转移性和复发性肿瘤很常见,但原发性网膜多形性脂肪肉瘤(POPL)是一种极为罕见的实体网膜肿瘤。我们描述了从活体供体接受肾脏移植的POPL患者的病例。尽管同种异体移植功能良好,但腹膜液量逐渐增加。由于患者肥胖并且出现了血流动力学不稳定,因此无法进行探索性剖腹手术。因此,使用Denver ®分流系统在腹膜腔和颈内静脉之间放置一个分流器。然而,患者死于呼吸功能不全。根据尸检结果,我们将患者的病情诊断为POPL。我们推测,恶性肿瘤并非直接来自供体细胞。我们在活体供体肾移植受者中报告了POPL。

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