Organ Sparing Surgery for a Giant Liposarcoma
Öz
Liposarcomas those are malignant soft tissue tumors often occur in large sizes in the retroperitoneum and abdomen due to their silent clinic. Excision with negative margins is the gold standard of treatment. A case operated on for a giant intraabdominal liposarcoma is being reported. A giant soft tissue tumor filling the whole abdomen was determined in the computed tomography scan. Core biopsy was obtained and demonstrated a well-differentiated liposarcoma. A 15 kg of mass 44x30x14 cm in size was excised en-bloc. Pathological examination of this tumor showed a well-differentiated liposarcoma with mixoid parts. No recurrence was observed in two years of follow-up despite any adjuvant therapy. This is to be one of the largest retroperitoneal sarcomas in the literature
Anahtar Kelimeler
Giant liposarcoma, retroperitoneal mass, intra-abdominal mass
Kaynakça
- Francis IR, Cohan RH, Varma DGSondak VK. Retroperitoneal sarcomas. Cancer Imaging 2005;5:89.
- Inoue K, Higaki YYoshida H. Giant retroperitoneal liposarcoma. Int J Urol 2005;12:220-2.
- Sharma M, Mannan R, Bhasin TS, Manjari MPunj R. Giant Inflammatory Variant of Well Differentiated Liposarcoma: A Case Report of a Rare Entity. J Clin Diagn Res. 2013;7:1720.
- Doglietto GB, Tortorelli AP, Papa V, Rosa F, Bossola M, Prete FP, et al. Giant retroperitoneal sarcomas: a single institution experience. World J Surg. 2007;31:1047-54.
- Thomas J. Retroperitoneal sarcoma. Br J Surg. 2007;94:1057-8.
- Hassan I, Park SZ, Donohue JH, Nagorney DM, Kay PA, Nasciemento AG, et al. Operative management of primary retroperitoneal sarcomas: a reappraisal of an institutional experience. Ann Surg. 2004;239:244.
- An J, Heo J, Noh J, Sohn T, Nam S, Choi S, et al. Primary malignant retroperitoneal tumors: analysis of a single institutional experience. Eur J Surg Oncol. 2007;33:376-82.
- Jelinek J, Kransdorf M, Shmookler B, Aboulafia AMalawer M. Liposarcoma of the extremities: MR and CT findings in the histologic subtypes. Radiology. 1993;186:455-9.
- Fernández-Ruiz M, Rodríguez-Gil Y, Guerra-Vales JM, Manrique-Municio A, Moreno-González EColina- Ruizdelgado F. Primary retroperitoneal liposarcoma: clinical and histological analysis of ten cases. Gastroenterol Hepatol. 2010;33:370-6.
- Pereira JM, Sirlin CB, Pinto PSCasola G. CT and MR Imaging of Extrahepatic Fatty Masses of the Abdomen and Pelvis: Techniques, Diagnosis, Differential Diagnosis, and Pitfalls 1. Radiographics. 2005;25:69-85.
