Primary liposarcoma of gallbladder diagnosed by preoperative imagings: A case report and review of literature  

Primary liposarcoma of gallbladder diagnosed by preoperative imagings: A case report and review of literature

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作  者:Takashi Hamada Kentaro Yamagiwa Yuko Okanami Koji Fujii Ikuo Nakamura Shugo Mizuno Hajime Yokoi Shuji Isaji Shinji Uemoto 

机构地区:[1]The First Department of Surgery Mie University School of Medicine,2-174 Edobashi,Tsu,Mie,Japan

出  处:《World Journal of Gastroenterology》2006年第9期1472-1475,共4页世界胃肠病学杂志(英文版)

摘  要:A 49-year-old Japanese woman was referred to our department because of high fever and a huge abdominal mass. Computed tomography (CT) and magnetic resonance (MR) imagings revealed a tumor, about 30 cm in diameter, occupied the right hepatic lobe and the peritoneal cavity. Abdominal angiography showed that the tumor was fed mainly by the cystic artery. We preoperatively diagnosed angiosarcoma of the gallbladder and performed tumor resection with cholecystectomy because the tumor was almost casplated, however the posterior wall of the gallbladder attached to the tumor firmly. Histologically, the tumor was composed of spindle cells including lipoblasts with cellular pleomorphism, which were also detected in the muscular layer of the gallbladder. We finally diagnosed pleomorphic liposarcoma of the gallbladder. At 10 mo and 29 mo after the first operation, she underwent two more operations because of recurrence. Now she has a good quality of life 3 years and 6 mo after the first operation.一个 49 岁的日本女人被指我们的部门因为高发烧和一个巨大的腹的团。计算断层摄影术(CT ) 和磁性的回声(先生) 成像揭示了一个肿瘤,在直径的大约 30 厘米,占据了恰好肝的脑叶和腹洞。腹的血管造影术证明肿瘤主要被膀胱的动脉喂。我们外科手术前地诊断了胆囊的血管肉瘤并且因为肿瘤是几乎 capsulated,与胆囊炎执行了肿瘤切除术,然而,胆囊的以后的墙紧紧地属于肿瘤。组织学地,肿瘤与细胞的多形性包括脂肪的强风由锭子房间组成,它也在胆囊的肌层被检测。我们最后诊断了胆囊的多形的脂肪的肉瘤。在在第一操作以后的 10 瞬间和 29 瞬间,因为复发,她经历了二更多的操作。现在,她在第一操作以后有生命 3 年和 6 瞬间的好质量。

关 键 词:LIPOSARCOMA GALLBLADDER LIVER Pleomorphic type RECURRENCE 

分 类 号:R735.8[医药卫生—肿瘤]

 

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