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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
"sarcoma"
symptom
alpha-thalassemia
carcinoma of the gallbladder
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
erdheim-chester disease
esophageal adenocarcinoma
focal myositis
hodgkin lymphoma, classical
liposarcoma
lymphangioleiomyomatosis
malignant atrophic papulosis
pleomorphic liposarcoma
primary effusion lymphoma
severe combined immunodeficiency
waldenström macroglobulinemia
well-differentiated liposarcoma
This symptom has already been validated