Pulmonary Pleomorphic Liposarcoma
Pulmonary Pleomorphic Liposarcoma
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DOI：
10.1007/s11748-005-0082-y
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发表时间：
2005-08-01
影响因子：
1.2
通讯作者：
Morishita, Yasuo
中科院分区：
文献类型：
--
作者：
Ibe, Takashi;Otani, Yoshimi;Morishita, Yasuo
肺脂肪肉瘤极为罕见，在英文文献中已有6例报道。以下是一个36岁男性肺脂肪肉瘤的报告。患者胸痛，胸片示右下肺野肿块影。计算机断层扫描和磁共振成像显示一个不均匀的肿瘤，压迫右肺下叶。由于胸部计算机断层扫描显示肿瘤中的脂肪组织成分，且表现为肺外肿块，因此术前诊断为后纵隔脂肪肉瘤。但开胸术显示肿瘤起源于肺部。右下肺叶切除及淋巴结清扫，无其他治疗。病理诊断为起源于肺部的多形性脂肪肉瘤。术后2个月，患者因局部复发呼吸衰竭死亡。
Pulmonary liposarcoma is extremely rare with 6 cases previously reported in the English literature. The following is a report of a 36-year-old man with pulmonary liposarcoma. The patient had chest pain and a mass shadow in the right lower lung field was revealed on a chest X-ray film. A computed tomography and magnetic resonance imaging showed a heterogeneous tumor, compressing the right lower lobe of the lung. Because of the fatty tissue component in the tumor on the chest computed tomography, and the appearance as an extrapulmonary mass, preoperative diagnosis was posterior mediastinal liposarcoma. But thoracotomy revealed that the tumor originated from the lung. Right lower Iobectomy and lymph node dissection was carried out with no additional therapy. The pathological diagnosis was pleomorphic liposarcoma originated from the lung. Two months after the operation, the patient died of respiratory failure due to local recurrence.