後腹膜脂肪肉腫を疑った多発仙骨前面骨髄脂肪腫の1例
症例は72歳，女性．鼠径部粉瘤の精査の際に，腹部CTを施行したところ後腹膜，仙骨前面に腫瘤を指摘されたため，当科受診をした．腹部CTで骨盤内に66mm，48mm，10mm大の腫瘤性病変を認めた．遠隔転移を認めなかったが，多発性腫瘤であり悪性度が高いと判断し，後腹膜脂肪肉腫の疑いとして開腹腫瘤摘出術を施行した．病理診断の結果は副腎外骨髄脂肪腫であり，仙骨前面骨髄脂肪腫と診断した．術後4年7カ月現在，無再発生存中である．多発性の副腎外骨髄脂肪腫は本邦では報告例はない．今回，われわれは稀な症例を経験したので報告する．...
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| Published in | 日本臨床外科学会雑誌 Vol. 83; no. 4; pp. 780 - 784 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本臨床外科学会
2022
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1345-2843 1882-5133 |
| DOI | 10.3919/jjsa.83.780 |
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| Abstract | 症例は72歳，女性．鼠径部粉瘤の精査の際に，腹部CTを施行したところ後腹膜，仙骨前面に腫瘤を指摘されたため，当科受診をした．腹部CTで骨盤内に66mm，48mm，10mm大の腫瘤性病変を認めた．遠隔転移を認めなかったが，多発性腫瘤であり悪性度が高いと判断し，後腹膜脂肪肉腫の疑いとして開腹腫瘤摘出術を施行した．病理診断の結果は副腎外骨髄脂肪腫であり，仙骨前面骨髄脂肪腫と診断した．術後4年7カ月現在，無再発生存中である．多発性の副腎外骨髄脂肪腫は本邦では報告例はない．今回，われわれは稀な症例を経験したので報告する． |
|---|---|
| AbstractList | 症例は72歳，女性．鼠径部粉瘤の精査の際に，腹部CTを施行したところ後腹膜，仙骨前面に腫瘤を指摘されたため，当科受診をした．腹部CTで骨盤内に66mm，48mm，10mm大の腫瘤性病変を認めた．遠隔転移を認めなかったが，多発性腫瘤であり悪性度が高いと判断し，後腹膜脂肪肉腫の疑いとして開腹腫瘤摘出術を施行した．病理診断の結果は副腎外骨髄脂肪腫であり，仙骨前面骨髄脂肪腫と診断した．術後4年7カ月現在，無再発生存中である．多発性の副腎外骨髄脂肪腫は本邦では報告例はない．今回，われわれは稀な症例を経験したので報告する． |
| Author | 世古口, 英 加藤, 健宏 久留宮, 康浩 井上, 昌也 菅原, 元 関本, 晃裕 |
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| References | 7) Tokuyama N, Takeuchi H, Kuroda I, et al : Incidental presacral myelolipoma resembling the liposarcoma : A case report and literature review. Case Rep Urol 2016 ; 2016 : 6510930.doi : 10.1155/2016/6510930 14) Andriandi, Cleven AHG, Hanff DF, et al : Presacral myelolipoma, case report and literature review. Ann Med Surg(Lond) 2020 ; 57 : 274-280 5) Dodge OG, Evans DM : Haemopoiesis in a presacral fatty tumor （myelolipoma）. J Pathol Bacteriol 1956 ; 72 : 313-317 2) Singla AK, Kechejian G, Lopez MJ : Giant presacral myelolipoma. Am Surg 2003 ; 69 : 334-338 12) Rizzo G, Coramusi C, Pietricola G, et al : Laparoscopic approach for a presacral myelolipoma resembling a liposarcoma. J Surg Case Rep 2018 ; 2018 : rjy156.doi : 10.1093/jscr/rjy156 3) Shin NY, Kim MJ, Chung JJ, et al : The differential imaging features of fat-containing tumors in the peritoneal cavity and retroperitoneum : the radiologic-pathologic correlation. Korean J Radiol 2010 ; 11 : 333-345 16) Baker KS, Lee D, Huang M, et al : Presacral myelolipoma : a case report and review of imaging findings. J Radiol Case Rep 2012 ; 6 : 1-9 13) Sethi S, Thakur S, Jacques S, et al : Myelolipoma of the pelvis : A case report and review of literature. Front Oncol 2018 ; 8 : 251.doi : 10.3389/fonc.2018.00251 15) Gill KR, Hasan MK, Menke DM, et al : Presacral myelolipoma : diagnosis by EUS-FNA and Trucut biopsy. Gastrointest Endosc 2010 ; 71 : 849-850 6) 上江洌一平，南 一仁，松山純子他:仙骨前面骨髄脂肪腫の1例．日消外会誌 2017;50:158-165 11) Sakamoto A, Nagamatsu I, Shiba E, et al : Presacral myelolipoma as a possible parasymptom of cancer : A case report. Rare Tumors 2018 ; 10 : 2036361318772124. doi : 10.1177/2036361318772124 10) Cho MH, Mandaliya R, Liang J, et al : A case report of symptomatic presacral myelolipoma. Medicine(Baltimore)2018 ; 97 : e0337.doi : 10.1097/MD.0000000000010337 8) Lee JJ, Dickson BC, Sreeharsha B, et al : Presacral myelolipoma : diagnosis on imaging with pathologic and clinical correlation. AJR Am J Roentgenol 2016 ; 207 : 470-481 4) 那須啓一，志田 大，松岡勇二郎他:仙骨前面骨髄脂肪腫の1例．日消外会誌 2011;44:1485-1492 1) Olsson CA, Krane RJ, Klugo RC, et al : Adrenal myelolipoma. Surgery 1973 ; 73 : 665-670 9) Arora K, Sidhu J : Extra-adrenal myelolipoma containing small lymphocytic lymphoma/chronic lymphocytic leukemia : A case report and review of the literature. Case Rep Hematol 2016 ; 2016 : 7364951. doi : 10.1155/2016/7364951 |
| References_xml | – reference: 12) Rizzo G, Coramusi C, Pietricola G, et al : Laparoscopic approach for a presacral myelolipoma resembling a liposarcoma. J Surg Case Rep 2018 ; 2018 : rjy156.doi : 10.1093/jscr/rjy156 – reference: 1) Olsson CA, Krane RJ, Klugo RC, et al : Adrenal myelolipoma. Surgery 1973 ; 73 : 665-670 – reference: 5) Dodge OG, Evans DM : Haemopoiesis in a presacral fatty tumor （myelolipoma）. J Pathol Bacteriol 1956 ; 72 : 313-317 – reference: 11) Sakamoto A, Nagamatsu I, Shiba E, et al : Presacral myelolipoma as a possible parasymptom of cancer : A case report. Rare Tumors 2018 ; 10 : 2036361318772124. doi : 10.1177/2036361318772124 – reference: 4) 那須啓一，志田 大，松岡勇二郎他:仙骨前面骨髄脂肪腫の1例．日消外会誌 2011;44:1485-1492 – reference: 2) Singla AK, Kechejian G, Lopez MJ : Giant presacral myelolipoma. Am Surg 2003 ; 69 : 334-338 – reference: 9) Arora K, Sidhu J : Extra-adrenal myelolipoma containing small lymphocytic lymphoma/chronic lymphocytic leukemia : A case report and review of the literature. Case Rep Hematol 2016 ; 2016 : 7364951. doi : 10.1155/2016/7364951 – reference: 13) Sethi S, Thakur S, Jacques S, et al : Myelolipoma of the pelvis : A case report and review of literature. Front Oncol 2018 ; 8 : 251.doi : 10.3389/fonc.2018.00251 – reference: 14) Andriandi, Cleven AHG, Hanff DF, et al : Presacral myelolipoma, case report and literature review. Ann Med Surg(Lond) 2020 ; 57 : 274-280 – reference: 8) Lee JJ, Dickson BC, Sreeharsha B, et al : Presacral myelolipoma : diagnosis on imaging with pathologic and clinical correlation. AJR Am J Roentgenol 2016 ; 207 : 470-481 – reference: 10) Cho MH, Mandaliya R, Liang J, et al : A case report of symptomatic presacral myelolipoma. Medicine(Baltimore)2018 ; 97 : e0337.doi : 10.1097/MD.0000000000010337 – reference: 15) Gill KR, Hasan MK, Menke DM, et al : Presacral myelolipoma : diagnosis by EUS-FNA and Trucut biopsy. Gastrointest Endosc 2010 ; 71 : 849-850 – reference: 3) Shin NY, Kim MJ, Chung JJ, et al : The differential imaging features of fat-containing tumors in the peritoneal cavity and retroperitoneum : the radiologic-pathologic correlation. Korean J Radiol 2010 ; 11 : 333-345 – reference: 7) Tokuyama N, Takeuchi H, Kuroda I, et al : Incidental presacral myelolipoma resembling the liposarcoma : A case report and literature review. Case Rep Urol 2016 ; 2016 : 6510930.doi : 10.1155/2016/6510930 – reference: 6) 上江洌一平，南 一仁，松山純子他:仙骨前面骨髄脂肪腫の1例．日消外会誌 2017;50:158-165 – reference: 16) Baker KS, Lee D, Huang M, et al : Presacral myelolipoma : a case report and review of imaging findings. J Radiol Case Rep 2012 ; 6 : 1-9 |
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| Title | 後腹膜脂肪肉腫を疑った多発仙骨前面骨髄脂肪腫の1例 |
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