Yıl: 2011 Cilt: 37 Sayı: 1 Sayfa Aralığı: 45 - 47 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Elde dev liposarkom

Öz:
Liposarkom yetişkinlerde en sık görülen yumuşak doku malignitesidir. Genellikle retroperitondan ve ekstremiteden kaynaklanır, nadiren elde görülür. 5 cm den geniş çaplı olanlar dev lipomatöz tümörler olarak tanımlanır. Bu yazıda 88 yaşında erkek hasta elinde 16 cm çapında ve 483 gr ağırlığında el ve parmak hareketlerini kısıtlayan 20 yılda yavaş büyüyen liposarkom sunulmaktadır. Liposarkomların tedavi seçeneği netlik kazanmamıştır. Elin damar ve sinirleri korunarak başarılı bir şekilde kitle cerrahi tedaviyle çıkarıldı. Postoperatif adjuvan radyoterapi (50 Gy doz) uygulandı. Cerrahi sonrası el fonksiyonları normale döndü ve 2 yıllık takipte rekürrense rastlanmadı. Literatürde bilinenler arasında en büyük liposarkom olgusudur.
Anahtar Kelime:

Konular: Cerrahi

Giant liposarcoma of the hand

Öz:
Liposarcoma is the most common soft tissue malignancy seen in adults. It usually derives from retroperitoneum and extremities, however, rarely seen in hands. If its diameter is higher than 5 cm, such tumor is defined as giant lipomatous tumQr. We present here a 88-year-old male patient with a liposarcoma of the hand with 16 cm diameter and 483 grams weight, that caused restriction of finger and hand function and slowly grew over the past 20 years. Management of liposarcomas are still inconclusive. We successfully performed surgical resection with preservation of neurovascular bundles. Postoperative adjuvant external beam radiotherapy (dose 50 Gy) was performed. Functions of the hand returned to normal after the surgical operation and no clinical recurrence has been observed so far for the last two years. To the best of our knowledge, this is the largest liposarcoma of the hand in the literature.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Bibliyografik
  • 1. Haber MH, Alter AH, Wheelock MC. Tumors of the hand. Surg Gynecol Obstet 1965; 121: 1073- 80
  • 2. Nikitakis NG, Lopes MA, Pazoki AE, Robert AO, John JS. MDM2+/CDK4-K/p53+ oral liposarcoma: Case report and review of the literature. Oral Surg Oral Med Oral Patbol Oral Radiol Endod 2001:92:194-201
  • 3. Nascitnento AF. McMenamin ME, Fletcher CD. Liposarco-mas/atypical lipomaious tumors of the oral cavity; A clinicopa-thologic study of'23 cases. Ann Diagn Pathol 2002;6:83-93.
  • 4. Kransdorf MJ. Malignant soft-tissue tumors in a large referral population: distribution of diagnoses by age, sex, and location. AJR 1995; 164: 129-34
  • 5. Cribb GL, Cool WP, Ford DJ, Mangham DC. Giant lipomatous tumours of the hand and forearm. J Hand Surg Br. 2005 0ct;30(5):509-12.
  • 6. Johnson CJ, Pynsent PB, Grimer RJ (2001). Clinical features of soft tissue sarcomas. Annals of the Royal College of Surgeons of England, 83: 203-5.
  • 7. Ogose A, Kobayashi H, Morita T, Hasegawa K, Hirata Y. Well-differentiated liposarcoma of the hand. Scand J Plast Re-constr Surg Hand Surg. 2000 Jun;34(2): 185-7.
  • 8. Laurino L, Furlanetto A, Orvieto E, Del Tos AP. Well differentiated liposarcoma (atypical lipomatous tumors). Seminars in Diagnostic Pathology 2001; 18: 258-62
  • 9. Adelson RT, DeFatta RJ, Verret DJ, Shen Y. Liposarcoma of the tongue: case report and review of the literature. Ear Nose Throat J. 2006 Nov;85(l 1):749-51.
  • 10. Capelastegui A, Astigarraga E, Fernandez-Canton G, Saralegui I, Larena JA, Merino A. Masses and pseudomasses of the hand and wrist: MR findings in 134 cases. Skeletal Radiology 1999;28:498-507.
  • 11. Hosono M, Kobayashi H, Fujimoto R et al. Septum-like structures in lipoma and liposarcoma: MR imaging and pathologic correlation. Skeletal Radiol 1997; 26: 150-54.
  • 12. Ross JA, Severson RK, Davis S, Brooks JJ. Trends in the incidence of soft tissue sarcomas in the United States from 1973 through 1987. Cancer 1993 Jul 15;72(2):486-90.
  • 13. Zagars GK, Goswitz MS, Pollack A, Liposarcoma:outcome and prognostic factors following conservation surgery and radiation therapy. Int JRadiat Oncol Biol Phys 1996; 36: 311-19.
APA Özbek S, ŞİMŞEK M, ÖZGENEL G (2011). Elde dev liposarkom. , 45 - 47.
Chicago Özbek Serhat,ŞİMŞEK Muhammed Eren,ÖZGENEL Güzin Yeşim Elde dev liposarkom. (2011): 45 - 47.
MLA Özbek Serhat,ŞİMŞEK Muhammed Eren,ÖZGENEL Güzin Yeşim Elde dev liposarkom. , 2011, ss.45 - 47.
AMA Özbek S,ŞİMŞEK M,ÖZGENEL G Elde dev liposarkom. . 2011; 45 - 47.
Vancouver Özbek S,ŞİMŞEK M,ÖZGENEL G Elde dev liposarkom. . 2011; 45 - 47.
IEEE Özbek S,ŞİMŞEK M,ÖZGENEL G "Elde dev liposarkom." , ss.45 - 47, 2011.
ISNAD Özbek, Serhat vd. "Elde dev liposarkom". (2011), 45-47.
APA Özbek S, ŞİMŞEK M, ÖZGENEL G (2011). Elde dev liposarkom. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 37(1), 45 - 47.
Chicago Özbek Serhat,ŞİMŞEK Muhammed Eren,ÖZGENEL Güzin Yeşim Elde dev liposarkom. Uludağ Üniversitesi Tıp Fakültesi Dergisi 37, no.1 (2011): 45 - 47.
MLA Özbek Serhat,ŞİMŞEK Muhammed Eren,ÖZGENEL Güzin Yeşim Elde dev liposarkom. Uludağ Üniversitesi Tıp Fakültesi Dergisi, vol.37, no.1, 2011, ss.45 - 47.
AMA Özbek S,ŞİMŞEK M,ÖZGENEL G Elde dev liposarkom. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2011; 37(1): 45 - 47.
Vancouver Özbek S,ŞİMŞEK M,ÖZGENEL G Elde dev liposarkom. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2011; 37(1): 45 - 47.
IEEE Özbek S,ŞİMŞEK M,ÖZGENEL G "Elde dev liposarkom." Uludağ Üniversitesi Tıp Fakültesi Dergisi, 37, ss.45 - 47, 2011.
ISNAD Özbek, Serhat vd. "Elde dev liposarkom". Uludağ Üniversitesi Tıp Fakültesi Dergisi 37/1 (2011), 45-47.