论文部分内容阅读
目的探讨精索脂肪肉瘤的临床特点和诊疗方法。方法回顾分析咸水沽医院1995年2月-2015年12月11例精索脂肪肉瘤患者,10例患者行手术治疗,1例患者就诊时发现为转移癌,单纯行放疗;术前诊断精索恶性肿瘤8例,1例误诊为附睾炎,1例误诊为良性脂肪瘤。结果随访1~20年,死亡1例,术后复发2例,分别于术后5年和10年复发,再次手术切除加区域淋巴结清扫,预后良好。结论精索脂肪肉瘤罕见,易被误诊,手术切除是首选方法,辅以放疗,术后严密随访。
Objective To investigate the clinical features and diagnosis and treatment of spermatic liposarcoma. Methods A total of 11 cases of spermatic liposarcoma from January 1995 to December 2015 in Xingshugu Hospital were retrospectively analyzed. Ten patients underwent surgical treatment. One patient was diagnosed as metastatic carcinoma at the time of diagnosis and treated with radiotherapy alone. The spermatic cord Malignant tumor in 8 cases, 1 case misdiagnosed as epididymitis, 1 case misdiagnosed as benign lipoma. Results The patients were followed up for 1 to 20 years, 1 died and 2 patients relapsed after operation. The patients recurred 5 years and 10 years respectively. Surgical resection and regional lymph node dissection were performed again and the prognosis was good. Conclusion Spermatic liposarcoma is rare, easily misdiagnosed, surgical resection is the preferred method, supplemented by radiotherapy, follow-up after surgery.