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男子全身长满脂肪瘤:医生花6小时切除 接近3斤重

2017-06-23 16:49:50   华龙网

华龙网6月23日15时48分讯(记者黄宇)55岁的蒋贵(化名)6年来全身长满了脂肪瘤,被人戏称为“绿巨人浩克”。特别是脖子周围脂肪瘤的蔓延,已经让他转头等行动受到了一定限制。近日,在重庆医科大学附属第三医院消化疾病中心,蒋贵全身多处脂肪瘤被成功切除,切下来的脂肪瘤整整装满了一个直径达15厘米的碗。

今日,蒋贵仍在病床上接受治疗。通讯员杨静怡摄

脂肪瘤蔓延迅速脖子活动受限

家住大足的蒋贵从6年前起开始长脂肪瘤。最开始只是耳朵后侧长了一颗指甲大小的,后来慢慢长大成鸡蛋大小。他先后去了多家医院,给出的结果各不相同,有的诊断为血管瘤,有的认为是脂肪瘤。后来日子久了,他发现这些包块对自己没太大影响,也就没放在心上。

谁想到,6年下来,全身上下包括脖子、手臂等地方竟都开始长出了大小不等的包块,并且包块以很快的速度长大、蔓延。最严重的是脖子,一圈都长满了,几乎连接了肩与下颌。

蒋贵先后在小煤窑和砖厂打工,脖子一圈的脂肪瘤让他的头部活动能力受限,近2年已经没有再继续工作了。走在街上,他奇怪的样子,路人也常常指指点点。看着他2006年的身份证照片与手术前的照片对比,已经认不出来这竟然是同一个人。

手术6小时切下来的肿瘤装满碗

为蒋贵主刀手术的杨新华教授告诉记者,检查发现,患者头颈、躯干和四肢多处皮下有大小不等的柔软包块,尤以颈部一圈最明显,呈典型的“马颈圈”样外观,结合影像检查确诊为一种罕见的疾病——多发性对称性脂肪瘤病,CT检查显示颈部瘤组织向深部生长,深入颈部各肌肉间隙,与正常组织无明显分界,很难彻底切除。

手术的难度主要在于瘤组织分布范围广,要剥离的创面大,几乎绕颈一周,瘤组织与深部肌肉间隙脂肪组织无明确的界限,该切除多少较难掌握。手术持续了5个小时,最大程度地为蒋贵清理了脂肪瘤组织。切下来的脂肪瘤组织装满了一个碗,接近3斤重。

病房里,刚手术下来的蒋贵因脖子一圈创面过大,暂时还不能自由活动。

杨新华教授表示,脂肪瘤是很常见的疾病,目前病因并不明确。但蒋贵所患的多发性对称性脂肪瘤病是一种十分罕见的疾病,目前国内外文献报道的病例不足300例,目前病因不明,可能是基因突变所致,也有人认为与长期饮酒有关。

责任编辑:都基强 CN065
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