Key result
Surgical resection of a bulky ileal mesenteric liposarcoma in a 73-year-old man resulted in the patient remaining free of recurrence for 20 months post-surgery.
Case Report (n=1)
This case report describes the successful surgical resection of a rare well-differentiated liposarcoma arising in the ileal mesentery, with no recurrence at 20 months.
Supports resection for rare mesenteric liposarcoma; leaves open long-term outcomes and adjuvant needs.
症例は72歳，男性．腹痛・嘔吐にて入院した．腹部ctおよびmriで下腹部に脂肪成分に富んだ内部不均一な巨大な腫瘤を認め，上行結腸が背側に圧排されていた．小腸造影および注腸造影で腸管の圧排所見を認めたが，狭窄像は認めず．血管造影検査では淡い腫瘍濃染像を認めた．以上より，腸管外に発生した脂肪肉腫を疑い手術を行った．回腸腸間膜を基部としたダンベル型の巨大な腫瘤を認め，回腸と共に切除した．組織学的には高分化型脂肪肉腫と診断した．術後約20カ月で再発兆候は認めていない．今回，回腸腸間膜に発生したまれな脂肪肉腫の1例を経験したので文献的考察を加え報告する．
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Tsujimura et al. (2011) conducted a case report in Ileal mesenteric liposarcoma (n=1). Surgical resection was evaluated on Clinical outcome (recurrence). Surgical resection of a bulky ileal mesenteric liposarcoma in a 73-year-old man resulted in the patient remaining free of recurrence for 20 months post-surgery.
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