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An unusual case of primary colonic dedifferentiated liposarcoma.
[dedifferentiated liposarcoma]
Ä°n
this
paper
,
we
present
a
rare
case
of
primary
dedifferantiated
liposarcoma
(
DDLS
)
of
the
colon
,
management
of
which
is
unclear
and
difficult
to
cope
with
.
71
year
old
female
patient
with
complaints
of
abdominal
pain
and
swelling
was
referred
to
our
clinic
with
the
diagnosis
of
intraabdominal
mass
.
23
cm
×
19
cm
×
18
cm
tumor
starting
from
the
neighborhood
of
left
liver
lobe
and
extending
toward
pelvic
floor
was
detected
on
computed
tomography
.
At
laparotomy
,
a
multilobulated
,
soft
and
yellowish
mass
was
arising
from
transvers
colon
and
invading
greater
curvature
of
stomach
.
En-bloc
removal
of
the
tumor
including
segmental
colon
and
gastric
wedge
resection
was
performed
.
Postoperative
histopathological
diagnosis
was
consistent
with
dedifferentiated
liposarcoma
.
Liposarcomas
are
rarely
encountered
in
the
gastrointestinal
tract
.
Previously
,
only
ten
cases
of
primary
liposarcoma
of
the
colon
have
been
reported
worldwide
and
to
our
knowledge
DDLS
of
transverse
colon
is
the
first
case
reported
in
the
literature
.
DDLS
is
a
high
-grade
aggressive
tumor
carrying
the
ability
to
metastasize
.
Despite
complete
removal
of
tumor
recurrence
is
common
in
DDLS
.
The
constellation
of
findings
in
our
patient
demonstrates
that
liposarcomas
which
histologically
exhibit
dedifferentiation
are
associated
with
a
poor
clinical
prognosis
and
advocating
surgery
alone
is
not
recommended
.
Diseases
Validation
Diseases presenting
"first case"
symptom
achondroplasia
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
gm1 gangliosidosis
harlequin ichthyosis
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
krabbe disease
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
systemic capillary leak syndrome
thoracic outlet syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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