TY - JOUR A2 - Tosi, Piero AU - feb - aldana, Christopher A. AU - Min, Jin AU - Rafols, Marc AU - Willis, Irvin AU - Alexis, John PY - 2018 DA - 2018/09/06 TI -腹股沟管脂肪肉瘤:SP - 5929626 VL - 2018 AB -脂肪肉瘤是腹膜后软组织肉瘤中最常见的组织学亚型。原发性脊髓脂肪肉瘤发生于腹股沟管并局限于腹股沟管，与腹膜后肿瘤的腹股沟阴囊扩张的区别是必须的。两者均可在腹股沟疝囊标本中偶然发现。术前诊断是必要的，充分的手术和明确的边缘。我们提出一个临床病理相关性的两名男子缓慢增长的右侧睾丸旁肿块诊断为腹股沟疝。病理检查显示为高分化脂肪瘤样脂肪肉瘤和高分化脂肪瘤混合型(脂肪瘤样和硬化型)。第一个肿瘤被认为是原发性脊髓脂肪肉瘤，在随访中没有复发。第二个肿瘤显示不寻常的生长模式，不连续的结节，给人完全切除的错误印象。这种生长模式可以解释为什么腹股沟脂肪肉瘤在手术切缘明显阴性的情况下仍有高复发率。 A follow-up CT scan exposed a fatty tumor in the retroperitoneum of the second patient. Careful interpretation of imaging studies in patients with fatty inguinal masses is mandatory to rule out a retroperitoneal or intraperitoneal component. Although the two cases herein discussed represent less than 0.1% of the total inguinal hernia sacs examined over the past five years in our pathology department, we recommend routine examination of all “mass-containing” hernia sacs as missing the diagnosis of liposarcoma can lead to substantial morbidity and mortality. SN - 2090-6781 UR - https://doi.org/10.1155/2018/5929626 DO - 10.1155/2018/5929626 JF - Case Reports in Pathology PB - Hindawi KW - ER -