精索脂肪肉瘤(附6例报告)

Liposarcoma of spermatic cord (reports of 6 cases)

目的探讨精索脂肪肉瘤的临床特点和诊治方法。方法回顾6例精索脂肪肉瘤临床资料，并复习有关文献。结果6例患者均行手术治疗，2例行肿瘤切除术，其余4例行根治术，术后随访19个月-11年，1例保留精索的年轻患者于术后3年出现局部复发，其余5例无复发及远处转移。结论精索脂肪肉瘤是一种低度恶性肿瘤，治疗方法主要以根治性手术为主，对于肿瘤高分化且年轻未育者，可行保留精索手术。

Objective To investigate the clinical features, diagnosis and treatment of spermatic cord liposarcoma. Methods Six cases of spermatic cord liposarcoma were retrospectively analyzed and the relevant literatures were reviewed. Results Two of the patients were treated by tumors resection, while the other four patients were treated by radical excisions. All of them were followed up for 19 months to 11 years after operation. One young patient with spermatic cord remained suffered recurrence after 3 years, the other five patients had no recurrence or metastasis. Conclusion Spermatic cord liposarcoma is a kind of low malignanct, its main treatment is radical operation. Operation with spermatic cord performed remained can be to the young patients with well-differenticated tumor and no child. Who has no child yet and the tumor is well-differentiated.