小儿颈部脂肪母细胞瘤1例

Jae Hyung Kim, L. H. Choi, Young-Chan Kim, S. Baek
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引用次数: 1

摘要

脂肪母细胞瘤是一种罕见的良性肿瘤,80-90%发生在3岁以下儿童中,40%发生在1岁以下儿童中。最常见的发病部位是肢体,其次是躯干。颈部是罕见的发病部位。患者主诉的主要症状是颈部肿块迅速增大而无疼痛感。当肿块增大时,可引起呼吸困难,即霍纳综合征。脂肪母细胞瘤通常在细针穿刺中被诊断为脂肪瘤。由于CT和MRI不能与脂肪瘤、脂肪肉瘤、冬眠性腺瘤鉴别,因此最终的诊断是通过手术切除的组织学诊断。治疗方法是完全手术切除。复发率为9-25%。作者报告此病例,并回顾文献,因为我们经历了一个病例的脂肪母细胞瘤的病理诊断后手术治疗颈部肿块。
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A case of neck lipoblastoma in a pediatric patient
Lipoblastoma is a rare benign tumor with 80-90% occurring in children less than 3 years of age and 40% occurring in children less than 1 year of age. The most common site of incidence is limb, and then trunk. Neck is the rare site of incidence. The main symptom that the patient complains about is a rapidly growing neck mass without pain. When the size of mass increases, it can cause dyspnea, Horner's syndrome. Lipoblastoma is usually diagnosed as a lipoma in the fine needle aspiration. Since it is not differentiated from lipoma, liposarcoma, and hibernating adenoma in CT and MRI, the definitive diagnosis is histologic diagnosis through surgical resection. The treatment is complete surgical resection. And recurrence rate is 9-25% due to incomplete resection. Authors report this case with a review of literatures since we experienced a case of lipoblastoma diagnosed histopathologically after surgical treatment of neck mass.
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