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肺内去分化脂肪肉瘤一例

董 舒, 刘 美华, 于 香莉, 安淑 香*

摘要

去分化脂肪肉瘤(DDLPS) 是最常见的高级别软组织肉瘤亚型。它的特征是未分化的肿瘤细胞成分与分化良好的
脂肪细胞肿瘤细胞成分共存。去分化(DD) 和高分化(WD)成分都表现出 MDM2 扩增,原发于肺的病例极为罕见,多
数为转移性或胸膜 / 纵隔原发灶的直接侵犯。发病机制可能与染色体 12q13-15 区域的基因扩增(如 MDM2、CDK4)相关,
MDM2 过表达是诊断标志之一。本病例为一名 68 岁男性患者,体检发现肺部阴影遂来我院住院检查,CT 报告为右肺下叶
占位性病变,经胸外科手术切除,病理诊断为肺内去分化脂肪肉瘤。

关键词

肺部肿瘤;高分化脂肪肉瘤;去分化脂肪肉瘤;MDM2

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参考

[1]WHO Classification of Tumours Editorial Board. Soft

tissue and bone tumours. Lyon (France): International Agency for

Research on Cancer 2020. (WHO classification of tumours series,

5th ed. Vol. 3). https://publications. Iarc.fr/588

[2]Zhou MY, Bui NQ, Charville GW, Ganjoo KN, Pan

M. Treatment of De-Differentiated Liposarcoma in the Era of

Immunotherapy. Int J Mol Sci. 2023 May 31;24(11):9571.

[3]Lu J, Wood D, Ingley E, Koks S, Wong D. Update

on genomic and molecular landscapes of well-differentiated

liposarcoma and dedifferentiated liposarcoma.MolBiolRep.2021A

pr;48(4):3637-3647.

[4]Casadei L, Calore F, Braggio DA, Zewdu A, Deshmukh

AA, Fadda P, Lopez G, Wabitsch M, Song C, Leight JL,

Grignol VP, Lev D, Croce CM, Pollock RE.MDM2Derived from

Dedifferentiated Liposarcoma Extracellular Vesicles Induces

MMP2 Production from Preadipocytes. Cancer Res. 2019 Oct

1;79(19):4911-4922.

[5]Sbaraglia M., Bellan E., Tos A.P.D. The 2020 WHO

Classification of Soft Tissue Tumours: News and perspectives.

Pathologica. 2021;113:70–84.

[6]Li W, Liu Q, Mu Y, Zhang K, Liu T. Dedifferentiated

liposarcoma (DDLPS) in the rectum: A case report. J Int Med Res.

202Jun;50(6):3000605221102081.

[7]Gagnier JJ, Kienle G, Altman DG, et al.. The CARE

guidelines: consensus-based clinical case reporting guideline

development. Headache 2013; 53: 1541–1547.

[8]Gruel N, Quignot C, Lesage L, El Zein S, Bonvalot S,

Tzanis D, Ait Rais K, Quinquis F, Manciot B, Vibert J, El Tannir

N, Dahmani A, Derrien H, Decaudin D, Bièche I, Courtois L,

Mariani O, Linares LK, Gayte L, Baulande S, Waterfall JJ, Delattre

O, Pierron G, Watson S. Cellular origin and clonal evolution of

human dedifferentiated liposarcoma. Nat Commun. 2024 Sep

12;15(1):7941.

[9]Sharma AE, Dickson M, Singer S, Hameed MR, Agaram

NP. GLI1 Coamplification in Well-Differentiated/Dedifferentiated

Liposarcomas: Clinicopathologic and Molecular Analysis of 92

Cases. Mod Pathol. 2024 Jun;37(6):100494.

[10]Fujiwara M ,Ota H ,Munakata K , et al.[A Case of

Dedifferentiated Retroperitoneal Liposarcoma That Survived

Long-Term after Eight Surgeries].[J].Gantokagakuryoho.Cancer&c

hemotherapy,2024,51(13):1776-1778.

[11]Kawasaki T ,Tashima T ,Onohara K , et al.Case report: a

rare clinical presentation of a difficult diagnosis of dedifferentiated

liposarcoma showing leiomyosarcoma phenotype in the ileocecal

region[J].Frontiers in Oncology,2024,141425809-1425809.

[12]Somaiah N, Tap W. MDM2-p53 in liposarcoma: The

need for targeted therapies with novel mechanisms of action.

Cancer Treat Rev. 2024 Jan;122:102668.

[13] 李加伍 , 罗燕 . 胰腺去分化脂肪肉瘤超声造影表现

1 例 [J]. 中国医学影像学杂志 ,2024,32(10):1040-1041.

[14] 徐耀杰 , 常易航 , 莫匹满 , 等 . 高分化 / 去分化脂肪

肉瘤的疾病特征及免疫相关治疗的研究进展 [J]. 实用肿瘤学

杂志 ,2024,38(04):278-282.

[15] 化宏金 , 司海鹏 , 潘敏鸿 , 等 . 伴炎症性恶性纤维组

织细胞瘤样形态学特征的去分化脂肪肉瘤 7 例临床病理特征

[J]. 临床与实验病理学杂志 ,2023,39(10):1212-1216.

[16] 向 丽 萍 , 何 惠 华 , 游 琪 , 等 . 原 发 性 胃 去 分

化 脂 肪 肉 瘤 病 理 分 析 并 文 献 复 习 [J]. 诊 断 病 理 学 杂 志

志 ,2023,30(08):791-793.


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