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[A rare primary tumor of the mediastinum: pleomorphic liposarcoma].
[pleomorphic liposarcoma]
Liposarcoma
of
the
mediastinum
is
a
rare
tumor
with
various
histologic
features
.
We
report
a
case
of
mediatinal
pleomorphic
liposarcoma
in
a
37
-
year
-old
man
who
complained
of
chest
pain
.
Computed
tomography
showed
an
anterior
expansive
process
within
the
mediastinum
.
Histological
diagnosis
was
established
by
a
trans-
thoracic
computed
tomography
guided
core-needle
biopsy
.
Despite
a
first
cure
of
chemotherapy
with
gemcitabin
/
cisplatin
,
disease
progression
led
to
death
3
months
after
diagnosis
.
Mediastinal
pleomorphic
liposarcoma
is
an
exceptional
invading
tumor
affecting
the
middle
-aged
adult
.
This
tumor
,
usually
giant
,
becomes
symptomatic
by
compression
of
mediastinal
structures
.
Surgery
is
the
best
treatment
when
possible
.
The
role
of
radiotherapy
and
chemotherapy
are
discussed
.
Prognosis
depends
both
on
the
quality
of
resection
and
the
grade
malignancy
.
Diseases
Validation
Diseases presenting
"chest pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
dedifferentiated liposarcoma
fabry disease
familial mediterranean fever
hydrocephalus with stenosis of the aqueduct of sylvius
liposarcoma
lymphangioleiomyomatosis
pleomorphic liposarcoma
pyomyositis
thoracic outlet syndrome
This symptom has already been validated