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最近当科で経験した精索脂肪肉腫の1例を報告した。症例は54歳,男性,左陰嚢内無痛性腫瘤を主訴として来院した。腫瘤は鵞卵大,弾性硬で表面は不整,透光性はなく,左睾丸,副睾丸は識別不能であつた。
左高位除睾術を施行。摘出標本は11×13×15cm,836g,病理組織学的には分化型脂肪肉腫であった。術後Adriamycin, Cyclophosphamideによる化学療法を行い,6カ月経つ現在,局所再発,遠隔転移を認めず,健在である。
A 56-year old man visited our clinic with a complaint of painless mass in the left scrotum of one year duration. The left high inguinal orchiectomy was performed, and the tumor was 11×13×15 cm in size and 836g in weight. The pathological diagnosis was well differentiated liposarcoma according to Enzinger & Winslow's classification. Postoperative chemotherapy was performed with Adriamycin and Cyclophosphamide, and postoperative course was uneventful with no signs of local recurrence and distant metastasis 6 months later.
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