Abstract

目的 探讨腹膜后脂肪肉瘤的临床影像学特点、病理学特点、诊断、治疗及预后。 方法 对本科室2012年3月至2015年1月收治的2例影像学考虑巨大腹膜后肉瘤,2例患者均行腹膜后包块探查加切除术。对患者资料进行分析总结。 结果 两例患者肿瘤均完整剥离、切除,术后组织化学病理染色均提示脂肪源性肿瘤。 结论 肾脏的巨大脂肪肉瘤临床较少见,充分的术前准备、术前影像学检查、术中所见及术后病理检查可确诊,相关文献复习提示术前CT及增强检查是诊断腹膜后肿瘤的最佳方法,手术切除是唯一有效的治疗途径,预后差。

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