後腹膜脂肪肉腫を疑った多発仙骨前面骨髄脂肪腫の1例
症例は72歳，女性．鼠径部粉瘤の精査の際に，腹部CTを施行したところ後腹膜，仙骨前面に腫瘤を指摘されたため，当科受診をした．腹部CTで骨盤内に66mm，48mm，10mm大の腫瘤性病変を認めた．遠隔転移を認めなかったが，多発性腫瘤であり悪性度が高いと判断し，後腹膜脂肪肉腫の疑いとして開腹腫瘤摘出術を施行した．病理診断の結果は副腎外骨髄脂肪腫であり，仙骨前面骨髄脂肪腫と診断した．術後4年7カ月現在，無再発生存中である．多発性の副腎外骨髄脂肪腫は本邦では報告例はない．今回，われわれは稀な症例を経験したので報告する．...
Saved in:
| Published in | 日本臨床外科学会雑誌 Vol. 83; no. 4; pp. 780 - 784 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本臨床外科学会
2022
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1345-2843 1882-5133 |
| DOI | 10.3919/jjsa.83.780 |
Cover
| Abstract | 症例は72歳，女性．鼠径部粉瘤の精査の際に，腹部CTを施行したところ後腹膜，仙骨前面に腫瘤を指摘されたため，当科受診をした．腹部CTで骨盤内に66mm，48mm，10mm大の腫瘤性病変を認めた．遠隔転移を認めなかったが，多発性腫瘤であり悪性度が高いと判断し，後腹膜脂肪肉腫の疑いとして開腹腫瘤摘出術を施行した．病理診断の結果は副腎外骨髄脂肪腫であり，仙骨前面骨髄脂肪腫と診断した．術後4年7カ月現在，無再発生存中である．多発性の副腎外骨髄脂肪腫は本邦では報告例はない．今回，われわれは稀な症例を経験したので報告する． |
|---|---|
| AbstractList | 症例は72歳，女性．鼠径部粉瘤の精査の際に，腹部CTを施行したところ後腹膜，仙骨前面に腫瘤を指摘されたため，当科受診をした．腹部CTで骨盤内に66mm，48mm，10mm大の腫瘤性病変を認めた．遠隔転移を認めなかったが，多発性腫瘤であり悪性度が高いと判断し，後腹膜脂肪肉腫の疑いとして開腹腫瘤摘出術を施行した．病理診断の結果は副腎外骨髄脂肪腫であり，仙骨前面骨髄脂肪腫と診断した．術後4年7カ月現在，無再発生存中である．多発性の副腎外骨髄脂肪腫は本邦では報告例はない．今回，われわれは稀な症例を経験したので報告する． |
| Author | 世古口, 英 加藤, 健宏 久留宮, 康浩 井上, 昌也 菅原, 元 関本, 晃裕 |
| Author_xml | – sequence: 1 fullname: 久留宮, 康浩 organization: JA愛知厚生連豊田厚生病院外科 – sequence: 1 fullname: 加藤, 健宏 organization: JA愛知厚生連豊田厚生病院外科 – sequence: 1 fullname: 世古口, 英 organization: JA愛知厚生連豊田厚生病院外科 – sequence: 1 fullname: 菅原, 元 organization: JA愛知厚生連豊田厚生病院外科 – sequence: 1 fullname: 井上, 昌也 organization: JA愛知厚生連豊田厚生病院外科 – sequence: 1 fullname: 関本, 晃裕 organization: JA愛知厚生連豊田厚生病院外科 |
| BookMark | eNo9UM1Kw0AYXKSCtfbkcyTu7pdNdy-CFH8KBS96Dptkowm1StKLx4RWKOpBD0JFEdSDtOBdhb5MGpq8hSkW5zAzMMMcZh1VuuddhdAmwToIIraCIJI6B73B8QqqEs6pxghApfRgMI1yA9ZQPYp8G2NagmFWRa1sepMPvvKrp7yf5Mk4T4b5YJIm9_OHuzR-S-OX7P1xPvqe_YyK8Uc2vC2eX0tTTPrLflmOP8lser2BVj3ZiVR9qTV0vLd71DzQ2of7reZOWwtog1BNSWCghKSOQ23JuWcwzxFCMABBQQF1MSWea2IbE-JyhzBbMWwSLpXhebYJNbT9txtEPXmirIvQP5PhpSXDnu90lLW4weJgGQsqv_gPnFMZWoGEXzJdcq8 |
| ContentType | Journal Article |
| Copyright | 2022 日本臨床外科学会 |
| Copyright_xml | – notice: 2022 日本臨床外科学会 |
| DOI | 10.3919/jjsa.83.780 |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 1882-5133 |
| EndPage | 784 |
| ExternalDocumentID | article_jjsa_83_4_83_780_article_char_ja |
| GroupedDBID | 123 2WC ALMA_UNASSIGNED_HOLDINGS CS3 JSF KQ8 RJT |
| ID | FETCH-LOGICAL-j2712-ea353e9a2cc2ba88f45fc999533923e32d021fd60b011d8c15be50618ae4ffb63 |
| ISSN | 1345-2843 |
| IngestDate | Wed Sep 03 06:30:48 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 4 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j2712-ea353e9a2cc2ba88f45fc999533923e32d021fd60b011d8c15be50618ae4ffb63 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jjsa/83/4/83_780/_article/-char/ja |
| PageCount | 5 |
| ParticipantIDs | jstage_primary_article_jjsa_83_4_83_780_article_char_ja |
| PublicationCentury | 2000 |
| PublicationDate | 20220000 |
| PublicationDateYYYYMMDD | 2022-01-01 |
| PublicationDate_xml | – year: 2022 text: 20220000 |
| PublicationDecade | 2020 |
| PublicationTitle | 日本臨床外科学会雑誌 |
| PublicationTitleAlternate | 日臨外会誌 |
| PublicationYear | 2022 |
| Publisher | 日本臨床外科学会 |
| Publisher_xml | – name: 日本臨床外科学会 |
| References | 7) Tokuyama N, Takeuchi H, Kuroda I, et al : Incidental presacral myelolipoma resembling the liposarcoma : A case report and literature review. Case Rep Urol 2016 ; 2016 : 6510930.doi : 10.1155/2016/6510930 14) Andriandi, Cleven AHG, Hanff DF, et al : Presacral myelolipoma, case report and literature review. Ann Med Surg(Lond) 2020 ; 57 : 274-280 5) Dodge OG, Evans DM : Haemopoiesis in a presacral fatty tumor （myelolipoma）. J Pathol Bacteriol 1956 ; 72 : 313-317 2) Singla AK, Kechejian G, Lopez MJ : Giant presacral myelolipoma. Am Surg 2003 ; 69 : 334-338 12) Rizzo G, Coramusi C, Pietricola G, et al : Laparoscopic approach for a presacral myelolipoma resembling a liposarcoma. J Surg Case Rep 2018 ; 2018 : rjy156.doi : 10.1093/jscr/rjy156 3) Shin NY, Kim MJ, Chung JJ, et al : The differential imaging features of fat-containing tumors in the peritoneal cavity and retroperitoneum : the radiologic-pathologic correlation. Korean J Radiol 2010 ; 11 : 333-345 16) Baker KS, Lee D, Huang M, et al : Presacral myelolipoma : a case report and review of imaging findings. J Radiol Case Rep 2012 ; 6 : 1-9 13) Sethi S, Thakur S, Jacques S, et al : Myelolipoma of the pelvis : A case report and review of literature. Front Oncol 2018 ; 8 : 251.doi : 10.3389/fonc.2018.00251 15) Gill KR, Hasan MK, Menke DM, et al : Presacral myelolipoma : diagnosis by EUS-FNA and Trucut biopsy. Gastrointest Endosc 2010 ; 71 : 849-850 6) 上江洌一平，南 一仁，松山純子他:仙骨前面骨髄脂肪腫の1例．日消外会誌 2017;50:158-165 11) Sakamoto A, Nagamatsu I, Shiba E, et al : Presacral myelolipoma as a possible parasymptom of cancer : A case report. Rare Tumors 2018 ; 10 : 2036361318772124. doi : 10.1177/2036361318772124 10) Cho MH, Mandaliya R, Liang J, et al : A case report of symptomatic presacral myelolipoma. Medicine(Baltimore)2018 ; 97 : e0337.doi : 10.1097/MD.0000000000010337 8) Lee JJ, Dickson BC, Sreeharsha B, et al : Presacral myelolipoma : diagnosis on imaging with pathologic and clinical correlation. AJR Am J Roentgenol 2016 ; 207 : 470-481 4) 那須啓一，志田 大，松岡勇二郎他:仙骨前面骨髄脂肪腫の1例．日消外会誌 2011;44:1485-1492 1) Olsson CA, Krane RJ, Klugo RC, et al : Adrenal myelolipoma. Surgery 1973 ; 73 : 665-670 9) Arora K, Sidhu J : Extra-adrenal myelolipoma containing small lymphocytic lymphoma/chronic lymphocytic leukemia : A case report and review of the literature. Case Rep Hematol 2016 ; 2016 : 7364951. doi : 10.1155/2016/7364951 |
| References_xml | – reference: 12) Rizzo G, Coramusi C, Pietricola G, et al : Laparoscopic approach for a presacral myelolipoma resembling a liposarcoma. J Surg Case Rep 2018 ; 2018 : rjy156.doi : 10.1093/jscr/rjy156 – reference: 1) Olsson CA, Krane RJ, Klugo RC, et al : Adrenal myelolipoma. Surgery 1973 ; 73 : 665-670 – reference: 5) Dodge OG, Evans DM : Haemopoiesis in a presacral fatty tumor （myelolipoma）. J Pathol Bacteriol 1956 ; 72 : 313-317 – reference: 11) Sakamoto A, Nagamatsu I, Shiba E, et al : Presacral myelolipoma as a possible parasymptom of cancer : A case report. Rare Tumors 2018 ; 10 : 2036361318772124. doi : 10.1177/2036361318772124 – reference: 4) 那須啓一，志田 大，松岡勇二郎他:仙骨前面骨髄脂肪腫の1例．日消外会誌 2011;44:1485-1492 – reference: 2) Singla AK, Kechejian G, Lopez MJ : Giant presacral myelolipoma. Am Surg 2003 ; 69 : 334-338 – reference: 9) Arora K, Sidhu J : Extra-adrenal myelolipoma containing small lymphocytic lymphoma/chronic lymphocytic leukemia : A case report and review of the literature. Case Rep Hematol 2016 ; 2016 : 7364951. doi : 10.1155/2016/7364951 – reference: 13) Sethi S, Thakur S, Jacques S, et al : Myelolipoma of the pelvis : A case report and review of literature. Front Oncol 2018 ; 8 : 251.doi : 10.3389/fonc.2018.00251 – reference: 14) Andriandi, Cleven AHG, Hanff DF, et al : Presacral myelolipoma, case report and literature review. Ann Med Surg(Lond) 2020 ; 57 : 274-280 – reference: 8) Lee JJ, Dickson BC, Sreeharsha B, et al : Presacral myelolipoma : diagnosis on imaging with pathologic and clinical correlation. AJR Am J Roentgenol 2016 ; 207 : 470-481 – reference: 10) Cho MH, Mandaliya R, Liang J, et al : A case report of symptomatic presacral myelolipoma. Medicine(Baltimore)2018 ; 97 : e0337.doi : 10.1097/MD.0000000000010337 – reference: 15) Gill KR, Hasan MK, Menke DM, et al : Presacral myelolipoma : diagnosis by EUS-FNA and Trucut biopsy. Gastrointest Endosc 2010 ; 71 : 849-850 – reference: 3) Shin NY, Kim MJ, Chung JJ, et al : The differential imaging features of fat-containing tumors in the peritoneal cavity and retroperitoneum : the radiologic-pathologic correlation. Korean J Radiol 2010 ; 11 : 333-345 – reference: 7) Tokuyama N, Takeuchi H, Kuroda I, et al : Incidental presacral myelolipoma resembling the liposarcoma : A case report and literature review. Case Rep Urol 2016 ; 2016 : 6510930.doi : 10.1155/2016/6510930 – reference: 6) 上江洌一平，南 一仁，松山純子他:仙骨前面骨髄脂肪腫の1例．日消外会誌 2017;50:158-165 – reference: 16) Baker KS, Lee D, Huang M, et al : Presacral myelolipoma : a case report and review of imaging findings. J Radiol Case Rep 2012 ; 6 : 1-9 |
| SSID | ssib002222505 ssib029852155 ssib039893138 ssib043658141 ssib058493876 ssj0061900 ssib000940327 ssib002822084 ssib002484630 ssib002484631 |
| Score | 2.29136 |
| Snippet | 症例は72歳，女性．鼠径部粉瘤の精査の際に，腹部CTを施行したところ後腹膜，仙骨前面に腫瘤を指摘されたため，当科受診をした．腹部CTで骨盤内に66mm，48mm，10mm大の腫... |
| SourceID | jstage |
| SourceType | Publisher |
| StartPage | 780 |
| SubjectTerms | 仙骨前面 多発 骨髄脂肪腫 |
| Title | 後腹膜脂肪肉腫を疑った多発仙骨前面骨髄脂肪腫の1例 |
| URI | https://www.jstage.jst.go.jp/article/jjsa/83/4/83_780/_article/-char/ja |
| Volume | 83 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | 日本臨床外科学会雑誌, 2022, Vol.83(4), pp.780-784 |
| journalDatabaseRights | – providerCode: PRVAFT databaseName: Open Access Digital Library customDbUrl: eissn: 1882-5133 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0061900 issn: 1345-2843 databaseCode: KQ8 dateStart: 19980101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3Na9RAFA-1XryIouI3PTjH1GQmycwcJ9ssVVAQWugtTLIJuIcqtr1469IKRT3oQagognqQFryr0H-mLd3iP-F7M7ObVHqoRQjh7Zs372MmYX5vNjPjeXdEGWgZVNpndR37EYwBvqY192HoEjpKdFlyXCj84GEyOx_dX4gXJs78bn21tLJcTJfPj11XcppeBR70K66S_YeeHSsFBtDQv3CHHob7ifqYZDFJMyI6JBNEAC0NkRBpOYATqSEoUcoRQjphlZKMIUeCDCcSaoWGExLFHCG7aEJFRCojI0kKRETSFOlMololUAbUihnkyBmiaKtIoiHw5Hh_xm6A0Sw0qiGetA2ZSQaecaJiQ3SIsrFxZxgcEmrkZYJeKm4iAQ64khidHRMAOJeaIoHmxXh-2IhIdAZjjE1oUDvDC55AZyXl6EAKBbKpGKNxFaBK9DEayWM8sdMiukcMCeMmiHRR3hHMVoS4UpKGjbzAUmE0iQy7Y6QfLtaesaFNZv-_Gqw1XrEo9gFhWIuV5WHShMf2tAc559Pj9gyOGbG4PUjLgR9uz-v7e1xlMsRtafv9JT0t2PS4zpGNyt1rkKNULlge4Q1E81EBriPM-5DMnKU4eYZfUDxq5QIyChhtzy1QhOctLAlQuZXr2t9HFmHToFl0TaUAZNosumYSkHnYDDYRA-wdNrkAAHHJBGJzC-PAwcBuMeBa2C7uxZa422oHAK59SONGn4AaVDp3wTvv0skpZWO_6E309SXv3v7Oq-H6j-GLD8O1wXCwNRxsDNe3dwdvD9692V39srv6af_r-4PNn3u_Ng-3vu1vvD78-BmIw-01Jw_Cq9_DvZ2Xl735bjbXmfXdkSl-n_KQ-pVmMaukpmVJCy1EHcV1CTkgJHWQyVWM9gDT170E__4Ie6IM46KKIVahq6iui4Rd8SYXnyxWV70pyQMd9GgYgRhOMknd46IowrIA-Vryax63kedP7b44-UkfgOunrnnDO4cvlJ0CvelNLj9bqW5BUrBc3DYP0x9_wNOH |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E5%BE%8C%E8%85%B9%E8%86%9C%E8%84%82%E8%82%AA%E8%82%89%E8%85%AB%E3%82%92%E7%96%91%E3%81%A3%E3%81%9F%E5%A4%9A%E7%99%BA%E4%BB%99%E9%AA%A8%E5%89%8D%E9%9D%A2%E9%AA%A8%E9%AB%84%E8%84%82%E8%82%AA%E8%85%AB%E3%81%AE1%E4%BE%8B&rft.jtitle=%E6%97%A5%E6%9C%AC%E8%87%A8%E5%BA%8A%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E4%B9%85%E7%95%99%E5%AE%AE%2C+%E5%BA%B7%E6%B5%A9&rft.au=%E5%8A%A0%E8%97%A4%2C+%E5%81%A5%E5%AE%8F&rft.au=%E4%B8%96%E5%8F%A4%E5%8F%A3%2C+%E8%8B%B1&rft.au=%E8%8F%85%E5%8E%9F%2C+%E5%85%83&rft.date=2022&rft.pub=%E6%97%A5%E6%9C%AC%E8%87%A8%E5%BA%8A%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A&rft.issn=1345-2843&rft.eissn=1882-5133&rft.volume=83&rft.issue=4&rft.spage=780&rft.epage=784&rft_id=info:doi/10.3919%2Fjjsa.83.780&rft.externalDocID=article_jjsa_83_4_83_780_article_char_ja |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1345-2843&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1345-2843&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1345-2843&client=summon |