腸間膜脂肪肉腫の1例 A CASE OF LIPOSARCOMA OF THE MESENTERIUM

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後腹膜腫瘍の診断で切除術を行った腸間膜脂肪肉腫の1症例を経験したので報告する.<br> 症例は51歳女性で右側腹部腫瘤を主訴に来院.直径約10cmの可動性良好の圧痛を伴わない腫瘤であった.血液検査では特に異常を認めなかった.腹部X線検査では淡い腫瘤陰影を認めた.尿路造影検査では右尿管の圧排,偏位を認めた.注腸造影検査では異常所見はみられず,腸管との関連はみられなかった.超音波検査では壁は平滑で,内部は均一の腫瘤であった.腹部CT検査では腫瘤は内部不均一で,上行結腸,右尿管を圧排していた.以上より後腹膜腫瘍と診断し摘出術を施行した.病理組織学的には腸間膜脂肪肉腫であった.しかし術後約3年で再発,死亡した.<br> 腸間膜脂肪肉腫はまれな疾患で,完全切除を施行すれば再発もなく治療成績は良好であるが,多発する症例もあり術中の検索を怠らないよう心掛けるべきである.

We reported a case of mesenteric liposarcoma resected with a preoperative diagnosis of retroperitoneal tumor. A 51-year-old woman was admitted to the hospital because of an abdominal mass. The mass was about 10cm in diamter and movable without tenderness. No abnormality was noted in blood chemical laboratory data. Abdominal X-ray examintion revealed a faint tumor shadow. Urography visualized a displacement of the right ureter. Barium enema revealed no abnormal findings. Abdominal ultrasonography and computed tomography demonstrated a tumor arising from the retroperitoneum. Laparotomy was performed and two tumors were found in the mesenterium of the ascending colon and jejunum. These tumors were extirpated without resection of the bowel. The histological findings revealed mesenteric liposarcoma. She died of regrowth of the tumor three years after the operation. A review of the literature revealed that mesenteric liposarcomas are extremely rare. Surgical resection would be recommended for radical treatment. If the lesion is completely excised, there is no fear of recurrence and a good prognosis is expected. Some tumors, however, occur in a multiple manner that demands careful intraoperative exploration.

収録刊行物

  • 日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society

    日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society 57(7), 1707-1712, 1996-07-25

    Japan Surgical Association

参考文献:  13件中 1-13件 を表示

被引用文献:  4件中 1-4件 を表示

各種コード

  • NII論文ID(NAID)
    10008522849
  • NII書誌ID(NCID)
    AN00198696
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03869776
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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