脂肪肉瘤

Methods The clinical data of 58 patients with SS(including liomysarcoma 44 cases,malignant lymphosarcoma 11 cases,neurofibrosarcoma 2 cases,liposarcoma 1 case) were analysed.

回顾性分析58例胃肉瘤(其中平滑肌肉瘤44例，恶性淋巴瘤11例，神经纤维瘤2例，脂肪肉瘤1例)患者的临床资料。

Some of the laryngeal MFH were difficult to be differentiated from carcinosarcoma, pleomorphic rhabdomyosarcoma , myxoid liposarcoma ,malignant neurilemmoma and myxoma without immunohistochemical aids .

喉恶性纤维组织细胞瘤常规组织学与癌肉瘤、多形性横纹肌肉瘤、粘液型脂肪肉瘤、恶性神经鞘瘤、粘液瘤有时易混淆，免疫组织化学有助于明确诊断。

A total of 150 mesenchymal neoplasms of the GI tract, abdominal cavity, and retroperitoneum were retrieved from consult and surgical pathology archives, including 54 GISTs (8 KIT-negative; 13 desmin-positive), 17 GI leiomyosarcomas, 11 GI mural leiomyomas, 13 leiomyomas of the muscularis mucosae, 12 gastric schwannomas, 15 inflammatory myofibroblastic tumors, 9 cases of mesenteric desmoid fibromatosis, 10 dedifferentiated liposarcomas, and 9 malignant peripheral nerve sheath tumors.

我们从会诊病例及活检病例中找出150例间叶性肿瘤（来自胃肠道、腹腔和后腹膜），其中包括54例GISTs（8例KIT阴性、13例desmin阳性）、17例GI道平滑肌肉瘤、11例GI道肌壁间平滑肌瘤、13例GI道粘膜肌层平滑肌瘤、12例胃的神经鞘瘤、15例炎性肌纤维母细胞瘤、9例肠系膜韧带样纤维瘤、10例去分化型脂肪肉瘤和9例恶性外周神经鞘膜瘤。

The pathology of tumours included 8 cases of phechoromocytoma(1 case appears malignancy),4 cases of ganglioneuroma,4 cases of adrenal myelolipoma, 2 cases of melanoma,4 cases of other lesions. Current median follow up ,available on 19 patients,was 14 months(ranges 3 to 47),no local recurrence and metastases was observed.

术后病理报告：嗜铬细胞瘤8例其中1例恶性），髓样脂肪瘤4例，神经节细胞瘤4例，脂肪肉瘤2例，其它病变4例。3例失访，19例随访3～47个月，平均14±9个月，未见局部复发和转移。

The discrimination between ordinary lipoma and atypical lipomatous tumor/well-differentiated liposarcoma is a common diagnostic challenge in diagnostic soft tissue pathology.

普通型脂肪瘤和非典型/高分化脂肪肉瘤的鉴别诊断是软组织病理学诊断工作中的一个难点。

Microscopically, retroperitoneal well differentiated liposarcomas appear identical to the well circumscribed atypical lipomatous tumors of neck, shoulder, upper back and other regions in extremities.

显微镜下，腹膜后分化良好型脂肪肉瘤在形态上与发生在颈、肩、上背和四肢其他部位的境界清楚的非典型脂肪瘤相似。

When the mass is somewhat irregular and ill-defined but contains fat, the diagnosis of liposarcoma should be considered.

当肿块不规则、边界不清但含有脂肪成分，应考虑脂肪肉瘤。

RESULTS: In 1365 patient undergoing resection of primary RPS, the most prevalent histologies were liposarcoma (50%), leiomyosarcoma (26%), and malignant fibrous histiocytoma (11%).

结果：1365例接受过首次RPS切除术的患者中，最常见的组织学分型为脂肪肉瘤（50％），平滑肌肉瘤（26％），恶性纤维组织细胞瘤（11％）。

Most of these non-lipogenic elements appear like fibrosarcoma or MFH, and often display features of high grade sarcoma. Sometimes, the sarcomatous elements are that of a low grade fibrosarcoma (consisting exclusively of spindled cells).

大部分非脂肪肉瘤成分镜下很像纤维肉瘤或恶性纤维组织细胞瘤，并且通常显示的是高级别肉瘤的特征。

Thirty-seven of 38 patients with follow-up are alive without disease and 1 is alive with disease (median 59 mo follow-up duration, range: 8 to 108 mo). Six cases showed myxoid liposarcoma with spindled growth (spindle cell myxoid liposarcoma); these arose in 5 females and 1 male (median age 14 y) and involved the thigh in 40% of cases.

随访的38例都存活，其中37例无再发，1例伴病（随访中位时间为59个月，范围：8至108个月）。6例黏液样脂肪肉瘤的瘤细胞生长方式为梭形（梭形细胞黏液样脂肪肉瘤），患者为5名女性、1名男性（中位年龄14岁），40%病例的肿瘤发生于大腿。

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