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目的:分析并总结精索脂肪肉瘤患者的临床表现及其诊断及治疗方法。方法:回顾性分析我院收治的1例精索脂肪肉瘤患者的临床资料:左侧阴囊内有一9.0 cm×9.4 cm×6.7 cm肿块,B超检查示左侧阴囊内存在一非均质实性包块;MRI显示左侧阴囊内有实质性肿瘤,未见肿大淋巴结。血清肿瘤标志物β-HCG、CEA、PSA和AFP检查均无异常。手术切除肿瘤的同时行左侧阴囊部分切除术。结果:术后病理检查提示为多形性混合型脂肪肉瘤。患者术后恢复顺利。结论:精索脂肪肉瘤是一种罕见的泌尿生殖系肿瘤,诊断主要依据病理检查结果确定;治疗以根治性睾丸切除术为主要方式,辅助放疗、化疗疗效不确切;预后与肿瘤组织病理类型密切相关,局部复发很常见,需长期随访。
Objective: To analyze and summarize the clinical manifestations of patients with spermatic liposarcoma and its diagnosis and treatment. Methods: The clinical data of one patient with sphincter liposarcoma treated in our hospital were retrospectively analyzed. There was a 9.0 cm × 9.4 cm × 6.7 cm mass in the left scrotal. B-mode ultrasonography showed a heterogeneity in the left scrotum Mass; MRI showed a substantial tumor within the left scrotum, no enlarged lymph nodes. Serum tumor markers β-HCG, CEA, PSA and AFP were normal. Surgery to remove the tumor at the same time part of the left scrotum resection. Results: Postoperative pathological examination prompted polymorphic liposarcoma. The patient recovered smoothly. Conclusion: The spermatic liposarcoma is a rare genitourinary tumor, the diagnosis is mainly based on the results of pathological examination to determine; the treatment of radical orchiectomy as the main way, adjuvant radiotherapy, chemotherapy curative effect is not exact; prognosis and tumor histopathological types are close Related, local recurrence is very common, requiring long-term follow-up.