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Suprarenal retroperitoneal liposarcoma with intracaval tumor thrombus: an imaging mimic of adrenocortical carcinoma.
[dedifferentiated liposarcoma]
We
report
a
57
-
year
-old
previously
healthy
man
who
presented
with
dull
right
upper
quadrant
pain
,
weight
loss
,
fatigue
,
and
night
sweats
.
Computed
tomography
demonstrated
a
large
,
heterogeneously
enhancing
,
soft
tissue
mass
with
no
macroscopic
fat
above
the
right
kidney
with
tumor
thrombus
extending
into
the
inferior
vena
cava
and
right
atrium
.
Positron
Emission
Tomography
scanning
demonstrated
intense
Fluorodeoxyglucose
avidity
in
the
primary
tumor
and
tumor
thrombus
.
The
presumptive
radiological
diagnosis
was
adrenocortical
carcinoma
,
but
surgical
pathology
revealed
a
dedifferentiated
liposarcoma
.
We
conclude
that
suprarenal
retroperitoneal
liposarcoma
should
be
included
in
the
differential
diagnosis
for
an
apparent
adrenal
mass
with
venous
invasion
.
Diseases
Validation
Diseases presenting
"fatigue"
symptom
benign recurrent intrahepatic cholestasis
cholangiocarcinoma
congenital adrenal hyperplasia
cowden syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dracunculiasis
erdheim-chester disease
esophageal carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
lymphangioleiomyomatosis
neuralgic amyotrophy
pleomorphic liposarcoma
systemic capillary leak syndrome
triple a syndrome
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
x-linked adrenoleukodystrophy
This symptom has already been validated