大網原発の多形型脂肪肉腫の1例  [in Japanese] A CASE OF PLEOMORPHIC LIPOSARCOMA OF THE GREATER OMENTUM  [in Japanese]

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Abstract

症例は62歳,男性. 5年前からの腹部重圧感を主訴に平成9年5月に受診した.腹部に椎体を越えて左右に移動する小児頭大の腫瘤を触知した.腹部超音波検査で臍上部に境界明瞭で内部はやや高信号を示す充実性の腫瘤が認められた.腹部CT検査では左側腹部に等吸収域の約11.0×8.7cmの腫瘤がみられ,造影で強く増強された. MRでは, T1強調画像で腫瘤は筋と等信号を示し, T2強調画像で不均一な高信号として認められた.画像診断としては平滑筋肉腫が疑われた.同年7月に腸間膜または大網原発肉腫の疑いで手術を行った.大網内に15×10cm大の腫瘍を認め,大網および胃部分切除を施行した.病理組織学的に大網原発多形型脂肪肉腫と診断された.

We experienced an extremely rare case of pleomorphic liposarcoma of the greater omentum. A 62-year-old man was seen at the hospital recently because of abdominal discomfort lasting for over the past 5 years. A tumor which was movable from side to side and infant's head-sized was palpable in the upper abdomen.<br> Ultrasonography of the abdomen revealed a hyper echoic mass, about 11cm in diameter, showing an irregular pattern.<br> An abdominal computed tomography (CT) scan presented an iso-density area with a clear boundary, and heterogeneous enhancement. These results were suggested that the tumor was a sarcoma arising from the mesentery. Laparotomy with an excision of the tumor which was 15×10cm in size situated in the greater omentum, an omentectomy and a partial gastrectomy was performed.<br> The histopathological diagnosis was pleomorphic liposarcoma of the greater omentum.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 59(11), 2921-2925, 1998-11-25

    Japan Surgical Association

References:  20

Cited by:  2

  • A CASE OF LIPOSARCOMA OF THE GREATER OMENTUM  [in Japanese]

    INADA Satoshi , NUNOBE Soya , TANIOKA Yasuhiko , HAMAGASHIRA Kenichiro , KOBAYASHI Masao , NOMI Shinpachiro

    日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 61(7), 1914-1918, 2000-07-25

    Ichushi Web  References (10) Cited by (7)

  • A Case of Primary lipoarcoma Arising from the Greater Omentum  [in Japanese]

    KOINUMA Kouji , AMEMIYA Tetsu , OKA Shouichi , YAMAGUCHI Hiroshi , SEKI Hiroaki , MURAI Shinji , HARA Takashi , AKAMATSU Hidetoshi , KOIZUMI Keishirou

    The Japanese journal of gastroenterological surgery 32(8), 2134-2138, 1999-08-01

    Ichushi Web  References (21) Cited by (1)

Codes

  • NII Article ID (NAID)
    10008437616
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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