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A huge retroperitoneal liposarcoma: case report.
[dedifferentiated liposarcoma]
Soft
tissue
sarcomas
are
rare
and
account
for
less
than
1
%
of
all
newly
diagnosed
malignancies
.
One
-
third
of
malignant
tumors
arising
in
the
retroperitoneum
are
sarcomas
.
Liposarcoma
is
the
most
common
soft
tissue
sarcoma
and
retroperitoneal
sarcoma
.
Liposarcoma
accounts
for
at
least
20
%
of
all
sarcomas
in
adults
and
up
to
41
%
of
all
retroperitoneal
sarcomas
.
Here
we
present
the
case
of
a
huge
retroperitoneal
liposarcoma
and
a
brief
literature
review
.
A
34
-
year
-old
woman
was
referred
to
our
hospital
from
a
local
clinic
,
because
of
abdominal
distention
,
pain
,
and
palpable
mass
.
On
admission
we
found
that
her
abdomen
was
markedly
distended
.
Computed
tomography
showed
a
the
huge
left
ovarian
mass
that
occupied
almost
the
entire
abdominal
cavity
.
The
mass
consisted
mainly
of
fat
,
and
calcified
material
.
She
was
operated
under
the
diagnosis
of
a
huge
teratoma
.
The
tumor
was
located
in
the
retroperitoneal
cavity
and
it
abutted
the
left
adnexa
.
The
retroperitoneal
tumor
,
including
the
left
adnexa
was
removed
.
The
tumor
measured
22
x
15
x
11
cm
,
and
showed
many
histological
and
pathological
findings
.
On
the
basis
of
the
histopathological
finding
,
the
tumor
was
diagnosed
as
a
dedifferentiated
liposarcoma
of
the
retroperitoneum
.
The
patient
is
presently
undergoing
radiation
therapy
.
In
retroperitoneal
liposarcoma
,
histological
subtype
,
incomplete
resection
,
contiguous
organ
resection
,
and
older
age
are
strongly
associated
with
tumor
-related
mortality
.
For
liposarcoma
,
it
is
necessary
to
customize
the
treatment
strategy
on
a
case-
by
-case
basis
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated