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首页> 外文期刊>The Internet Journal of Academic Physician Assistants >Giant Abdominal Liposarcoma: A Case Report
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Giant Abdominal Liposarcoma: A Case Report

机译：巨大腹部脂肪肉瘤：一例报告

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Primary mesenteric liposarcoma is a rare malignant tumor of mesenchymal origin (1,2,3,4). These tumors are often found to be of substantial size upon diagnosis. We report a case of primary mesenteric liposarcoma that weighed approximately 8.5 kilograms. To our knowledge, this is only the seventeenth case of mesenteric liposarcoma reported in the English literature to date (2,3,5,6,7) as well as the largest ever reported in the mesentary. Takagi et al (4) has previously reported a case of a 40 kilogram liposarcoma, however this tumor was located in the retroperitoneum. Case Report The patient was a 69 year old white male who noticed blood present in his urine approximately six weeks before presentation to the surgeon. He also reported feeling bloated and complained of increasing abdominal distention over the past year. He denied any abdominal pain, constipation, diarrhea, nausea, vomiting, fever, chills, nightsweats, hematochezia, or melena. He reported a five-pound weight loss over the past year, despite his increasing abdominal girth. During the investigation of his hematuria by urology a CT scan was ordered which showed multiple large masses filling the pelvis and abdomen with sizes ranging from 15 to 20 centimeters in size [figure 1]. The lesions were of relatively low density and suggested collections of mucin or complex fluid. Multiple calcific areas were also present within the lesions. No pancreatic mass was noted, nor did the lesions appear connected to the pancreas. Lucencies of undetermined etiology were also reported in both the liver and kidneys. Finally, the CT scan also showed the presence of a large hiatal hernia. Upon evaluation of the CT scan, the patient was referred to the surgeon for treatment.
机译：原发性肠系膜脂肪肉瘤是一种罕见的间充质来源的恶性肿瘤（1,2,3,4）。通常在诊断后发现这些肿瘤的大小很大。我们报告一例原发性肠系膜脂肪肉瘤，重约8.5公斤。据我们所知，这只是迄今为止英语文献中报道的肠系膜脂肪肉瘤的第十七例（2、3、5、6、7），也是迄今为止肠系膜最大的病例。 Takagi等人（4）先前曾报道一例40公斤脂肪肉瘤，但该肿瘤位于腹膜后。病例报告该患者是一位69岁的白人男性，在送给外科医生之前大约六周发现尿液中有血液。他还报告感到feeling肿，并抱怨在过去的一年中腹胀增加。他否认有任何腹痛，便秘，腹泻，恶心，呕吐，发烧，寒战，夜汗，便血或黑便。尽管他的腹围增加，但他在过去的一年中体重减轻了5磅。在通过泌尿科检查他的血尿时，要求进行CT扫描，结果显示弥漫在骨盆和腹部的大量肿块，大小在15到20厘米之间[图1]。病变的密度相对较低，建议收集粘液或复杂液体。病变内也有多个钙化区域。没有发现胰腺肿块，也没有出现与胰腺相连的病变。肝和肾中也有病因未明的报道。最后，CT扫描还显示存在巨大的食管裂孔疝。在评估CT扫描后，将患者转介给外科医生进行治疗。

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