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目的探讨精索脂肪肉瘤的临床特点和诊治方法。方法回顾6例精索脂肪肉瘤临床资料,并复习有关文献。结果6例患者均行手术治疗,2例行肿瘤切除术,其余4例行根治术,术后随访19个月~11年,1例保留精索的年轻患者于术后3年出现局部复发,其余5例无复发及远处转移。结论精索脂肪肉瘤是一种低度恶性肿瘤,治疗方法主要以根治性手术为主,对于肿瘤高分化且年轻未育者,可行保留精索手术。
Objective To investigate the clinical features and diagnosis and treatment of spermatic liposarcoma. Methods The clinical data of 6 cases of spermatic liposarcoma were retrospectively reviewed. Results All the 6 patients underwent surgical resection and 2 underwent tumor resection. The remaining 4 patients underwent radical operation. The patients were followed up for 19 months to 11 years. One case of young patients with spermatic cord had local recurrence 3 years after operation, The remaining 5 cases without recurrence and distant metastasis. Conclusion The spermatic liposarcoma is a low-grade malignant tumor. The treatment is mainly based on radical surgery. It is feasible to retain the spermatic cord for patients with well-differentiated tumors and young offspring.