精索脂肪肉瘤1例报告并文献复习  

Spermatic cord liposarcoma:A case report and review of the literature

作　　者：张小军[1] 杜从启[2] 金美善[3] 许宁[1] 汪岩[1] 王春喜[1] 

机构地区：[1]吉林大学第一医院泌尿外科,吉林长春130021 [2]吉林大学第一医院男科,吉林长春130021 [3]吉林大学第一医院病理科,吉林长春130021

出　　处：《中华男科学杂志》2011年第9期829-831,共3页National Journal of Andrology

摘　　要：目的:探讨精索脂肪肉瘤的临床特点及诊治方法。方法:回顾性分析1例精索脂肪肉瘤临床资料,结合相关文献对其临床诊治进行讨论。结果:患者行左侧精索肿瘤根治性切除术。术后病理诊断为精索脂肪肉瘤。随访5个月无复发及转移。结论:精索脂肪肉瘤是一种罕见的疾病,影像学及实验室检查无特异性。推荐的治疗方法为根治性睾丸切除术及局部肿瘤广泛性切除术;对于中、高级分化的肿瘤可以辅助放疗。化疗效果尚未明确。Objective： To explore the clinical features and treatment of spermatic cord liposarcoma（SCL）.Methods： We retrospectively analyzed the clinical data of a case of SCL,reviewed the related literature and investigated the diagnosis and treatment of the disease.Results： The patient underwent tumor resection and left inguinal orchidectomy.Postoperative pathology confirmed the case to be s SCL.Neither recurrence nor metastasis was found during the five-month follow-up.Conclusion： SCL is a rare medical condition with no specific imaging and laboratory features.Radical orchidectomy with wide local excision of the mass is recommended for its treatment,and adjuvant radiotherapy can be considered in intermediately or highly differentiated tumors and recurrent liposarcomas,while the role of chemotherapy is not well-defined.

关 键 词：精索 脂肪肉瘤 诊断 治疗 

分 类 号：R737.23[医药卫生—肿瘤]