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DOI: 10.1055/s-2001-17764
Georg Thieme Verlag Stuttgart · New York
Koinzidenz von Lipom und Liposarkom der rechten Hand bei einem 84-jährigen Patienten: Eine Falldarstellung
Coincidence of Lipoma and Liposarcoma of the Right Hand in an 84-Year-Old Patient: A Case ReportPublication History
Publication Date:
29 April 2004 (online)
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Zusammenfassung
Wir berichten über den Fall eines 84-jährigen Patienten mit einer schmerzlosen, über zehn Jahre langsam wachsenden Raumforderung in der ersten Interdigitalfalte. In der Magnetresonanztomografie zeigte sich eine glatt begrenzte Raumforderung des Daumenballens mit einem zentralen solideren Anteil. Dieser speicherte vermehrt Kontrastmittel. Die lokale Exstirpation zeigte histologisch ein Lipom mit zentral gelegenem Liposarkom. Wir diskutieren den seltenen Fall der malignen Entartung eines Lipoms. Es ergibt sich bei größeren, über viele Jahre bestehenden Lipomen die Konsequenz kernspintomografischer Kontrollen.
Summary
We report the case of an 84-year-old patient presenting with a painless tumor between the thumb and the index finger. MRI showed a clearly defined tumor of the thenar eminence with a centrally localized more solid structure. There was a signal enhancement after intravenous administration of contrast medium. We performed a local resection of the tumor. Histologically, we found a lipoma with a centrally localized liposarcoma. We discuss the rare case of malignant transformation of a lipoma. In long-standing large lipomas we suggest regular controls by MR imaging.
Schlüsselwörter
Tumoren: Liposarkom - Lipom - MRT
Key words
Tumors: liposarcoma - lipoma - MRI
Literatur
- 1 Brennan M F. Management of extremity soft-tissue sarcoma. Am J Surg. 1989; 158 71-78
- 2 Brien E W, Terek R M, Geer R J, Caldwell G, Brennan M F, Healy J H. Treatment of soft-tissue sarcomas of the hand. J Bone Joint Surg [Am]. 1995; 77 564-571
-
3 Enzinger F M, Weiss S W.
Benign lipomatous tumors. Soft Tissue Tumors. 2nd ed. St. Louis; Mosby 1988: 301-345 - 4 Fong Y, Coit D G, Woodruff J M, Brennan M F. Lymph node metastasis from soft tissue sarcoma in adults. Analysis of data from a prospective database of 1772 sarcoma patients. Ann Surg. 1993; 217 72-77
- 5 Geer R J, Woodruff J, Casper E S, Brennan M F. Management of small soft-tissue sarcoma of the extremity in adults. Arch Surg. 1992; 127 1285-1289
- 6 Issakov J, Merimsky O, Gutman M, Kollender Y, Lev-Chelouche D, Abu-Abid S, Lifschitz-Mercer B, Inbar M, Klausner J M, Meller I. Hyperthermic isolated limb perfusion with tumor necrosis factor-alpha and melphalan in advanced soft-tissue sarcomas: histopathological considerations. Ann Surg Oncol. 2000; 7 155-159
- 7 Jelineck J, Keller J, Myre Jensen O, Steen Nielsen O, Christensen T. Evaluation of lipomatous soft tissue tumors by MR imaging. Acta Radiol. 1994; 35 367-370
- 8 Kransdorf M J. Malignant soft-tissue tumors in a large referral population: Distribution of diagnosis by age, sex, and location. Am J Roentgenol. 1995; 164 129-134
- 9 Mentzel T. Lipomatöse Tumoren der Haut und des Weichgewebes - Neue Entitäten und Konzepte. Pathologe. 2000; 21 441-448
- 10 O'Connor M I, Pritchard D J, Gunderson L L. Integration of limb-sparing surgery, brachytherapy and external-beam irradiation in the treatment of soft-tissue sarcomas. Clin Orthop. 1993; 289 73-80
-
11 Peimer C A, Moy O J, Dick H M.
Tumors of bone and soft tissue. Green DP Operative Hand Surgery. Vol. 2, 3rd ed. New York, Edinburgh; Churchill Livingstone 1993: 2225-2246 - 12 Reitan J B, Kaalhus O. Radiotherapy of liposarcoma. Br J Radiol. 1980; 53 969-975
- 13 Rosenberg S A, Tepper J, Glatstein E, Costa J, Baker A, Brennan M, DeMoss E V, Seipp C, Sindelar W F, Sugarbaker P, Wesley R. The treatment of soft-tissue sarcomas of the extremities. Prospective randomised evaluation of (1) limb-sparing surgery plus radiation therapy compared with amputation and (2) the role of adjuvant chemotherapy. Ann Surg. 1982; 196 305-315
- 14 Rosenthal H G, Terek R M, Lane J M. Management of extremity soft-tissue sarcomas. Clin Orthop. 1993; 289 66-72
- 15 Schlag P M, Tunn P U, Kettelhack Ch. Diagnostisches und therapeutisches Vorgehen bei Weichgewebstumoren. Chirurg. 1997; 68 1309-1317
- 16 Springfield D. Liposarcoma. Clin Orthop. 1993; 289 50-57
- 17 Talbert M L, Zagars G K, Sherman N E, Romsdahl M M. Conservative surgery and radiation therapy for soft tissue sarcoma of the wrist, hand, ankle, and foot. Cancer. 1990; 66 2482-2491
Dr. med. Wolfgang Baer
Klinik für Handchirurgie und Plastische Chirurgie
Kliniken Dr. Erler
Kontumazgarten 4 - 18
90429 Nürnberg
Email: baer.wolfgang@t-online.de