原发性腹膜后去分化脂肪肉瘤1例并文献复习

Primary retroperitoneal dedifferentiated liposarcoma in 1 case report and literature review

目的探讨原发性腹膜后去分化脂肪肉瘤的发病机制、病理分型、临床表现、影像学检查及治疗方式。方法回顾性分析1例原发性腹膜后去分化脂肪肉瘤的病例资料,分析疾病的发病机制、病理分型、临床表现、影像学检查及治疗方式等,总结治疗效果,并对相关文献进行复习。结果患者经过手术治疗,完整切除肿瘤;术后复查腹腔及腹膜后未见肿瘤复发,血常规、肝功能、肿瘤标志物无明显异常。结论目前临床对于原发性腹膜后去分化脂肪肉瘤首选手术切除治疗,其在降低肿瘤复发率、提高生存率及生存质量方面优于其他治疗方法。

Objective To investigate the pathogenesis,pathological classification,clinical manifestations,imaging examination and treatment methods of primary retroperitoneal dedifferentiated liposarcoma.Methods The clinical data of 1 case of primary retroperitoneal dedifferentiated liposarcoma was retrospectively analyzed,the pathogenesis,pathological classification,clinical manifestations,imaging examination and treatment methods of the disease were analyzed,the therapeutic effect was summarized,and the related literatures were reviewed.Results The patient underwent surgical treatment and the tumor was completely removed.No tumor recurrence was found in the abdominal cavity and retroperitoneal space after operation,and there were no obvious abnormalities in blood routine,liver function and tumor markers.Conclusion At present,surgical resection is the first choice for primary retroperitoneal dedifferentiated liposarcoma,which is superior to other treatment methods in reducing tumor recurrence rate,improving survival rate and quality of life.