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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
"transverse colon"
symptom
carcinoma of the gallbladder
dedifferentiated liposarcoma
pleomorphic liposarcoma
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