Is surgical treatment of lipoblastoma always necessary?

被引:73
作者
Mognato, G
Cecchetto, G
Carli, M
Talenti, E
d'Amore, ESG
Pederzini, F
Guglielmi, M
机构
[1] Univ Padua, Dept Pediat, Div Pediat Surg, I-35128 Padua, Italy
[2] Univ Padua, Div Oncohematol, I-35128 Padua, Italy
[3] Univ Padua, Dept Radiol, I-35128 Padua, Italy
[4] Univ Padua, Dept Pathol, I-35128 Padua, Italy
[5] Pediat Hosp Santa Chiara, Div Neonatol, Trent, Italy
关键词
lipoblastoma;
D O I
10.1053/jpsu.2000.16428
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Lipoblastoma is an uncommon, benign mesenchymal tumor with an excellent prognosis despite its potential to local invasion and rapid growth. However, in the literature, a spontaneous resolution has never been reported, and, consequently, the need for a complete surgical excision has never been questioned. The authors report a case of a 2-day- old boy with congenital diffuse lipoblastoma in the left thigh, which forced us to withold from surgical treatment to avoid the risk of mutilation in a patient so young. The lesion was followed-up by imaging, and a complete spontaneous resolution of the diffuse lipoblastoma was shown by magnetic resonance imaging (MRI) at 1-year follow-up. In the literature, a complete surgical excision is recommended. The results of this case suggest that a "wait and see" approach is justified at least in infants with huge invasive lesions requiring a mutilating excision. J Pediatr Surg 35:1517-7513. Copyright (C) 2000 by W.B. Saunders Company.
引用
收藏
页码:1511 / 1513
页数:3
相关论文
共 13 条
  • [1] A CASE OF BENIGN INTRASCROTAL LIPOBLASTOMA CLINICALLY MIMICKING TESTICULAR TORSION AND REVIEW OF THE LITERATURE
    ARDA, IS
    SENOCAK, ME
    GOGUS, S
    BUYUKPAMUKCU, N
    [J]. JOURNAL OF PEDIATRIC SURGERY, 1993, 28 (02) : 259 - 261
  • [2] Chang P F, 1997, Pediatr Surg Int, V12, P71
  • [3] CHUNG EB, 1973, CANCER, V32, P482, DOI 10.1002/1097-0142(197308)32:2<482::AID-CNCR2820320229>3.0.CO
  • [4] 2-E
  • [5] COFFIN CM, 1994, SEMIN DIAGN PATHOL, V11, P98
  • [6] DHARAN M, 1993, ACTA CYTOL, V37, P563
  • [7] ENZINGER FM, 1995, SOFT TISSUE TUMORS, P401
  • [8] Fletcher CDM, 1996, AM J PATHOL, V148, P623
  • [9] MR-IMAGING OF BENIGN FATTY TUMORS IN CHILDREN - REPORT OF 4 CASES AND REVIEW OF THE LITERATURE
    HA, TV
    KLEINMAN, PK
    FRAIRE, A
    SPEVAK, MR
    NIMKIN, K
    COHEN, IT
    HIRSCH, M
    WALTON, R
    [J]. SKELETAL RADIOLOGY, 1994, 23 (05) : 361 - 367
  • [10] LIPOBLASTOMA IN INFANCY AND CHILDHOOD
    JIMENEZ, JF
    [J]. JOURNAL OF SURGICAL ONCOLOGY, 1986, 32 (04) : 238 - 244