脂肪肉瘤

Resulte: In 12 infective lesions, including purulent infection (4 cases) and tuberculosis (8 cases), the correct dignosis was made in 4cases by CR and in 11 cases by CT. In 16 soft tissue tumors, including lipoma (7 cases), fibrosarcoma (4 cases), hemangioma (1 case), neurofibroma (1 case), malignant fibrous histocytoma (1case), aggressive fibromatosis (1 case) and liposarcoma (1 case), the correct diagnosis was made in 3cases by CR and in 14 cases by CT. In 11 bone lesions, including fibrous dysplasia (7 cases), chondroma (2 cases), myeloma and cosinophilic granuloma (1 case), the correct diagnosis was made in 8cases by CR and in 10 cases by CT.

结果：感染组12例中(包括化脓性感染4例，胸壁结核8例)，CR准确诊断4例，CT诊断11例；软组织肿瘤组16例中(包括脂肪瘤7例，纤维肉瘤4例，血管瘤、神经纤维瘤、恶性纤维组织细胞瘤、侵袭性纤维瘤病和脂肪肉瘤各l例)，CR准确诊断3例，CT诊断14例；骨肿瘤和肿瘤样病变组11例中(包括骨纤维异常增殖症7例，软骨瘤2例，多发性骨髓瘤和骨嗜酸性肉芽肿各1例)，CR准确诊断8例，CT诊断10例。

Methods : From July 2003 to November 2007, 21 cases of sarcoma and SC Cancerous ulcer patients were treated, among which 11 cases male and 10 cases female, the age 14~83 (average 50 years old) and upper limb 6 cases and lower limb 15 cases; The pathologic diagnosis is: SC 6 cases, synovial sarcoma 4 cases, malignant fibrohistiocytoma 3 cases, adipose sarcoma 2 cases, osteogenic sarcoma 2 cases, malignant melanoma 2 cases, sarcoma epithelioides 1 case, derma-eminence fibrosarcoma 1 case.

自2003年7月～2007年11月治疗21例肉瘤及鳞癌性溃疡患者，男性11例，女性10例，年龄14～83（平均50岁）。上肢6例，下肢15例；病理为：鳞癌6例，滑膜肉瘤4例，恶性纤维组织细胞瘤3例，脂肪肉瘤2例，骨肉瘤2例，恶性黑色素瘤2例，上皮样肉瘤1例，皮肤隆突性纤维肉瘤1例。

Clinical diagnostic considerations ranged from benign entities such as rhabdomyoma, intramuscular lipoma, fibromatosis, myositis ossificans, proliferative myositis, inflammatory myofibroblastic tumor, and inflammatory myopathy to malignant entities such as rhabdomyosarcoma, leiomyosarcoma, liposarcoma, and lymphoma.

这些病例的临床考虑多样，有良性的横纹肌瘤、肌内脂肪瘤、纤维瘤病、骨化性肌炎、增生性肌炎、炎性肌纤维母细胞瘤和炎性肌病，也有恶性的横纹肌肉瘤、平滑肌肉瘤、脂肪肉瘤和淋巴瘤。

Dedifferentiated liposarcoma, occurring in up to 10% of well differentiated liposarcoma cases, has similar histologic features to that of undifferentiated high-grade pleomorphic sarcoma; the former develops in a background of atypical lipomatous tumors/well differentiated liposarcoma, whereas the latter shows no specific line of differentiation.

去分化脂肪肉瘤占高分化脂肪肉瘤比例达10%，其形态特征与未分化高级别多形性肉瘤有相似之处；前者发生在不典型脂肪肿瘤/高分化脂肪肉瘤的背景上，后者无特定分化方向。

We conclude that conventional myxoid liposarcoma is by far the most common subtype of liposarcoma in young patients, with an excellent prognosis.

总结：普通型黏液样脂肪肉瘤是年轻患者的脂肪肉瘤中最常见的一个亚型，且预后极好。

Most of them are low grade or well differentiated liposarcoma (rather than the myxoid or pleomorphic variants of liposarcomas).

大部分都属于低级别或分化良好型脂肪肉瘤（而非粘液型或多形性脂肪肉瘤）。

Altogether, approximately 50 bona fide liposarcomas have been reported in children and adolescents, most of which have represented myxoid liposarcomas, with a good prognosis.

文献中大约总共报道了50例发生于儿童和青少年的真性脂肪肉瘤，其中大部分是黏液样脂肪肉瘤，且预后良好。

The postoperative pathology confirmed that cortical carcinoma was found in 5 cases and pheochromocytoma in 20 cases, malignant pheochromocytoma in 4 cases, malignant fibrous histiocytoma in 1 case, neurocytoma in 1 case, myelolipoma in 1 case, dysembryoma in 1 case, dysembryo-sarcoma in 1 case, well-differentiated liposarcoma in 1 case respectively.

术后病理提示皮质癌5例；嗜铬细胞瘤20例；恶性pheo 4例；恶性纤维组织细胞瘤1例；节神经细胞瘤1例；髓样脂肪瘤1例；畸胎瘤1例；畸胎肉瘤1例；高分化脂肪肉瘤1例。

A minority of retroperitoneal liposarcomas may, either at the time of initial diagnosis or at the time of local recurrence, contain nodule of non-lipogenic sarcomatous elements.

少数腹膜后脂肪肉瘤可以在初次诊断或局部复发时发现局灶区非脂肪肉瘤的肉瘤成分。

No matter what kinds of sarcomatous elements are found in a retroperitoneal dedifferentiated liposarcoma, its clinical behavior is not the same as high grade fibrosarcomas, leiomyosarcomas, osteosarcomas, chondrosarcomas, rhabdomyosarcomas, or MPNST.

无论在腹膜后去分化型脂肪肉瘤中发现何种类型的其他肉瘤成分，它的临床行为都与高级别纤维肉瘤、平滑肌肉瘤、骨肉瘤、软骨肉瘤、或恶性外周神经鞘膜瘤不同。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失