•  
  •  
 

Rehabilitation Practice and Science

Translated Title

以坐骨神經痛爲初始臨床表現的後腹腔巨大脂肪肉瘤：病例報告

Abstract

Background: Retroperitoneal liposarcoma is one of the common soft-tissue tumors that occur in the retroperitoneal cavity. It often invades adjacent structures and causes symptoms of gastrointestinal or urinary tract infection. However, it rarely causes sciatica by compressing the lumbosarcral nerve roots. A recent reviewarticle of the domestic literatures revealed that this is the first casereport on sciatica caused by retroperitoneal liposarcoma.Case: We present the case of a 29-year-old man who complained of left knee pain for half a year. The pain gradually progressed to his left lateral calf. Sciatica was suspected based on his clinical symptoms and electrodiagnostic studies. However, despite undergoing a 6-week program of intermittent pelvic traction, the patient’s symptoms did not improve. Magnetic resonance imaging revealed a huge retroperitoneal tumor sized 18 cm × 13 cm × 10 cm. Surgical excision of the tumor was performed, and the operative findings included a large tumor with jelly-like content in the retroperitoneum and intra-psoas muscle with nerve bundle encasement. Pathological findings revealed myxoid/round cell type liposarcoma. Conclusion: If sciatica is suspected on the basis of clinical findings, the nerve roots may be compressed by causes other than vertebral spurs or herniated discs. Retroperitoneal tumor may be one of the differential diagnoses. The epidemiology, pathology, treatment, and prognosis of retroperitoneal liposarcoma are discussed in this casereport.

Language

Traditional Chinese

First Page

73

Last Page

79

Download

Share

COinS