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Huge retroperitoneal dedifferentiated liposarcoma presented as acute pancreatitis: report of a case.
[dedifferentiated liposarcoma]
A
74
-
year
-old
male
with
abdominal
pain
was
admitted
to
the
emergency
room
in
our
hospital
.
The
high
value
of
serum
amylase
was
shown
in
his
blood
test
.
The
postcontrast
computed
tomography
(
CT
)
showed
the
huge
retroperitoneal
tumor
with
a
thin
-walled
mass
occupying
most
of
the
part
of
the
right
retroperitoneal
space
.
The
tumor
spread
into
the
soft
tissues
around
the
pancreas
;
as
a
result
,
the
duodenum
was
compressed
and
the
pancreas
was
displaced
to
the
right
side
.
The
irregular
pancreatic
outline
,
obliterated
peripancreatic
fatty
tissue
and
fluid
in
the
left
anterior
pararenal
space
were
revealed
,
so
acute
pancreatitis
was
diagnosed
.
The
diagnostic
biopsy
of
retroperitoneal
tumor
was
done
,
and
the
pathological
findings
of
retroperitoneal
mass
revealed
dedifferentiated
liposarcoma
.
The
medical
treatment
against
acute
pancreatitis
was
performed
firstly
.
After
the
patient
recovered
from
that
,
the
surgical
resection
of
the
tumor
with
the
right
kidney
and
right
adrenal
gland
was
completed
successfully
.
The
patient
remained
well
,
without
any
evidence
of
recurrence
three
months
after
surgery
.
However
,
the
histology
showed
dedifferentiated
liposarcoma
;
therefore
,
postoperative
regular
examination
is
necessary
.
Diseases
Validation
Diseases presenting
"right retroperitoneal space"
symptom
dedifferentiated liposarcoma
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