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[A case of pleomorphic liposarcoma in a patient with Crohn's disease taking azathioprine].
[pleomorphic liposarcoma]
Azathioprine
is
frequently
used
for
the
treatment
of
inflammatory
bowel
diseases
(
IBD
)
such
as
Crohn
's
disease
and
ulcerative
colitis
.
Lymphomas
,
squamous
cell
carcinomas
,
and
undifferentiated
pleomorphic
sarcomas
have
been
reported
among
patients
receiving
azathioprine
therapy
.
Herein
,
we
report
a
case
of
pleomorphic
liposarcoma
of
chest
wall
which
occurred
in
a
44
-
year
-old
man
with
Crohn
's
disease
taking
azathioprine
.
He
was
diagnosed
with
Crohn
's
disease
3
years
ago
after
suffering
from
abdominal
pain
and
hematochezia
for
12
years
.
He
had
been
taking
50
mg
of
azathioprine
per
day
for
23
months
when
he
visited
the
thoracic
and
cardiovascular
surgery
clinic
due
to
right
chest
palpable
mass
that
had
rapidly
grown
during
the
past
2
months
.
Excisional
biopsy
was
performed
and
the
mass
was
diagnosed
as
pleomorphic
liposarcoma
.
Therefore
,
he
underwent
radical
excision
of
the
right
chest
wall
mass
,
which
measured
11
.
0
×
6
.
5
cm
in
size
.
He
is
scheduled
to
receive
radiation
therapy
and
chemotherapy
.
Diseases
Validation
Diseases presenting
"abdominal pain"
symptom
22q11.2 deletion syndrome
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
congenital diaphragmatic hernia
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
erdheim-chester disease
erythropoietic protoporphyria
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
focal myositis
liposarcoma
lymphangioleiomyomatosis
malignant atrophic papulosis
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
typhoid
von hippel-lindau disease
well-differentiated liposarcoma
This symptom has already been validated