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Computed tomography manifestations of histologic subtypes of retroperitoneal liposarcoma.
[dedifferentiated liposarcoma]
Liposarcoma
(
LPS
)
is
the
most
common
soft
tissue
sarcoma
and
accounts
for
approximately
20
%
of
all
mesenchymal
malignancies
,
often
occurring
in
deep
soft
tissue
of
retroperitoneal
space
.
Accurate
preoperative
diagnosis
is
therefore
necessary
.
We
explored
whether
computed
tomography
(
CT
)
could
be
used
to
differentiate
between
the
various
types
of
retroperitoneal
liposarcoma
(
RPLS
)
.
Forty
-
seven
cases
of
RPLS
,
diagnosed
surgically
and
histologically
,
were
analyzed
retrospectively
.
CT
features
were
correlated
with
postoperative
pathological
appearance
.
The
study
radiologist
identified
29
,
11
,
2
,
2
and
3
RPLS
as
atypical
lipomatous
tumor
/
well-differentiated
liposarcoma
(
ALT
/
WDL
)
,
dedifferentiated
liposarcoma
(
DDL
)
,
myxoid
/
round
cell
liposarcoma
(
ML
/
RCL
)
,
pleomorphic
liposarcoma
(
PL
)
and
mixed
-
type
liposarcoma
.
Analysis
of
CT
scans
revealed
the
following
typical
findings
of
the
different
subtypes
of
RPLS
:
ALT
/
WDL
was
mainly
visible
as
a
well-delineated
fatty
hypodense
tumor
with
uniform
density
and
integrity
margin
;
DDL
was
marked
by
the
combination
of
focal
nodular
density
and
hypervascularity
.
ML
/
RCL
,
PL
and
mixed
liposarcoma
showed
malignant
biological
behaviour
and
CT
findings
need
further
studies
.
CT
scanning
can
reveal
important
details
including
internal
components
,
margins
and
surrounding
tissues
.
Based
on
CT
findings
,
tumor
type
can
be
roughly
evaluated
and
biopsy
location
and
therapeutic
scheme
guided
.
Diseases
Validation
Diseases presenting
"sarcoma"
symptom
alpha-thalassemia
carcinoma of the gallbladder
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
erdheim-chester disease
esophageal adenocarcinoma
focal myositis
hodgkin lymphoma, classical
liposarcoma
lymphangioleiomyomatosis
malignant atrophic papulosis
pleomorphic liposarcoma
primary effusion lymphoma
severe combined immunodeficiency
waldenström macroglobulinemia
well-differentiated liposarcoma
This symptom has already been validated