摘出後局所再発をきたした精索脂肪肉腫の1例  [in Japanese] LIPASORCOMA OF THE SPERMATIC CORD WITH LOCAL RECURRENCE : A CASE OF REPORT  [in Japanese]

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Abstract

今回われわれは比較的稀な精索原発脂肪肉腫を経験したので報告する.<br> 症例は70歳,男性. 1997年5月,右内鼠径ヘルニアに対しiliopubic tract repairを施行された. 2000年4月,右鼠径部腫脹を主訴に受診.再発鼠径ヘルニアと診断し,同年10月手術を施行した.術中ヘルニア嚢は認めず,精索に沿い陰嚢内まで連なる腫瘍を認めたため,右精巣とともに切除し,病理組織検索により脂肪肉腫と診断した.術後補助療法として放射線療法を行ったが局所再発をきたし,翌年1月,腫瘍を周囲腹壁とともに切除し,メッシュによる腹壁再建を施行した.病理組織検索で脂肪肉腫の再発を認めた.<br> 精索原発脂肪肉腫は脂肪肉腫の4~7%と稀である.診断には組織学的検索が必須であり,外科的切除がもっとも有効な治療法である.また,再発形式としては局所再発が多く,広範切除と注意深い経過観察が必要である.

We report a case of liposarcoma arisen from the spermatic cord with local recurrence. A 70-year-old man noticed a right inguinal swelling 3 years after an operation for right direct inguinal hernia. Under a diagnosis of recurrence of inguinal hernia, an operation was performed. However, there was a lipoma-like tumor instead of hernia sac, and so the tumor with the right testis was resected. Pathological examination of the tumor was liposarcoma. Although radiation therapy was added after the operation, local recurrence occurred. Surgical resection of the tumor with a sufficient safety margin and reconstruction of the abdominal wall by mesh-sheet were performed. Histologically recurrence of liposarcoma was confirmed.<br> Liposarcoma of spermatic cord is a rare clinical entity and accounts for 4_??_7% of all liposarcomas. Pathological examination is necessary for the diagnosis. The most effective therapy for the tumor is surgical resection. Extensive resection and strict follow-up are important because of its high frequency of local recurrence.

Journal

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

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 63(6), 1551-1554, 2002-06-25

    Japan Surgical Association

References:  6

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008914255
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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