• 廣東省人民醫(yī)院普外三科（廣州510080）;

目的　 總結(jié)原發(fā)性腹膜后脂肪肉瘤（primary retroperitoneal liposarcoma，PRL）的臨床病理特征、診斷及治療方法。
方法 　回顧性分析經(jīng)手術(shù)和活檢證實的23例PRL患者的臨床病理資料。
結(jié)果 　首發(fā)癥狀及體征表現(xiàn)為腹部腫塊（91.3%，21/23），腹脹（56.5%，13/23）及腹痛（30.4%，7/23）。B超及CT的定位診斷準確率分別為66.7%（12/18）和85.7%（12/14）。首次手術(shù)腫瘤完整切除16例（69.6%），其中8例聯(lián)合臟器切除； 部分切除3例（13.0%）； 僅行活檢4例（17.4%）。PRL腫瘤完整切除術(shù)后復發(fā)率為75.0%（12/16）,該12例中再次手術(shù)8例（66.7%）可完全切除腫瘤。
結(jié)論 　CT是診斷PRL的重要手段，優(yōu)于B超； 手術(shù)以完整切除腫瘤為主，對侵犯臟器者采用累及臟器一并切除； 術(shù)后復發(fā)者可再次手術(shù)。

引用本文： 杜嘉林,吳澤宇,萬進. 原發(fā)性腹膜后脂肪肉瘤23例報道. 中國普外基礎(chǔ)與臨床雜志, 2007, 14(6): 704-705. doi: 復制

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2. 　唐光健， 王儀生， 姜濤， 等. 腹膜后原發(fā)腫瘤的CT診斷 [J]. 中華放射學雜志， 1996; 30(4)∶229.
3. 　Neville A, Herts BR. CT characteristics of primary retroperitoneal neoplasms [J]. Crit Rev Comput Tomogr, 2004; 45(4)∶247.
4. 　Erzen D, Sencar M, Novak J. Retroperitoneal sarcoma: 25 ye-ars of experience with aggressive surgical treatment at the institute of oncology, Ljubljana [J]. J Surg Oncol, 2005; 91(1)∶1.
5. 　Alldinger I, Yang Q, Pilarsky C, et al. Retroperitoneal soft tissue sarcomas: prognosis and treatment of primary and recurrent disease in 117 patients [J]. Anticancer Res, 2006; 26(2B)∶1577.
6. 　鄭樹森， 徐驍. 原發(fā)性腹膜后及腸系膜脂肪肉瘤的診斷及外科治療 [J]. 中國實用外科雜志， 2003； 23（9）∶540.
7. 　Singer S, Antonescu CR, Riedel E, et al. Histologic subtype and margin of resection predict pattern of recurrence and survival for retroperitoneal liposarcoma [J]. Ann Surg， 2003; 238(3)∶358.
8. 　Neuhaus SJ, Barry P, Clark MA, et al. Surgical management of primary and recurrent retroperitoneal liposarcoma [J]. Br J Surg， 2005; 92(2)∶246.
9. 　Malerba M, Doglietto GB, Pacelli F, et al. Primary retroperitoneal soft tissue sarcomas: results of aggressive surgical treatment [J]. World J Surg， 1999; 23(7)∶670.
10. 　Serio G, Tenchini P, Nifosi F, et al. Surgical strategy in primary retroperitoneal tumours [J]. Br J Surg， 1989; 76(4)∶385.
  1. 1. 　Dalton RR, Donohue JH, Mucha P, et al. Management of retroperitoneal sarcomas [J]. Surgery, 1989; 106(4)∶725.
  2. 2. 　唐光健， 王儀生， 姜濤， 等. 腹膜后原發(fā)腫瘤的CT診斷 [J]. 中華放射學雜志， 1996; 30(4)∶229.
  3. 3. 　Neville A, Herts BR. CT characteristics of primary retroperitoneal neoplasms [J]. Crit Rev Comput Tomogr, 2004; 45(4)∶247.
  4. 4. 　Erzen D, Sencar M, Novak J. Retroperitoneal sarcoma: 25 ye-ars of experience with aggressive surgical treatment at the institute of oncology, Ljubljana [J]. J Surg Oncol, 2005; 91(1)∶1.
  5. 5. 　Alldinger I, Yang Q, Pilarsky C, et al. Retroperitoneal soft tissue sarcomas: prognosis and treatment of primary and recurrent disease in 117 patients [J]. Anticancer Res, 2006; 26(2B)∶1577.
  6. 6. 　鄭樹森， 徐驍. 原發(fā)性腹膜后及腸系膜脂肪肉瘤的診斷及外科治療 [J]. 中國實用外科雜志， 2003； 23（9）∶540.
  7. 7. 　Singer S, Antonescu CR, Riedel E, et al. Histologic subtype and margin of resection predict pattern of recurrence and survival for retroperitoneal liposarcoma [J]. Ann Surg， 2003; 238(3)∶358.
  8. 8. 　Neuhaus SJ, Barry P, Clark MA, et al. Surgical management of primary and recurrent retroperitoneal liposarcoma [J]. Br J Surg， 2005; 92(2)∶246.
  9. 9. 　Malerba M, Doglietto GB, Pacelli F, et al. Primary retroperitoneal soft tissue sarcomas: results of aggressive surgical treatment [J]. World J Surg， 1999; 23(7)∶670.
  10. 10. 　Serio G, Tenchini P, Nifosi F, et al. Surgical strategy in primary retroperitoneal tumours [J]. Br J Surg， 1989; 76(4)∶385.