精索脂肪肉瘤11例并文献复习

11 cases for spermatic cord liposarcoma and literature review

目的探讨精索脂肪肉瘤的临床特点和诊疗方法。方法回顾分析咸水沽医院1995年2月-2015年12月11例精索脂肪肉瘤患者,10例患者行手术治疗,1例患者就诊时发现为转移癌,单纯行放疗;术前诊断精索恶性肿瘤8例,1例误诊为附睾炎,1例误诊为良性脂肪瘤。结果随访1~20年,死亡1例,术后复发2例,分别于术后5年和10年复发,再次手术切除加区域淋巴结清扫,预后良好。结论精索脂肪肉瘤罕见,易被误诊,手术切除是首选方法,辅以放疗,术后严密随访。

Objective To discuss the clinical characteristics and treatment of spermatic cord liposarcoma.Methods There were 11 cases of spermatic cord liposarcoma from 1995 February to 2015 December in Xianshuigu Hospital. 10 of which were accepted surgical treatment, 1 of which was accepted radiotherapy as found to be metastatic carcinoma. 8 cases were diagnosed the spermatic cord malignant tumor, 1 case was misdiagnosed as epididymitis, 1 case was misdiagnosed as benign lipoma. Results Followed up for 1 ~20years, 1 cases of death, 2 cases of recurrence after 5 years and 10 years postoperative respectively, resection and lymph node dissection again then good prognosis. Conclusion Spermatic cord Liposarcoma is rare and easily to be misdiagnosed. Surgical resection is the preferred method, radiotherapy and postoperative follow-up will be necessary.