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[Liposarcoma - a rare primary neoplasm of the thorax].
[well-differentiated liposarcoma]
Liposarcoma
is
a
rare
tumour
localised
within
the
thorax
.
It
can
originate
from
a
different
thoracic
structures
(
for
example
:
lung
parenchyma
,
mediastinum
,
pleura
)
or
thoracic
wall
.
We
present
a
case
of
a
35
-
year
-old
woman
with
a
giant
tumour
of
the
left
hemithorax
,
who
had
two
weeks
history
of
non-productive
cough
and
progressive
dyspnoea
from
eight
months
.
Chest
radiography
showed
a
large
,
round
opacity
in
the
left
hemithorax
,
which
displaced
the
cardiac
silhouette
to
the
right
.
Contrast-enhanced
computed
tomography
showed
a
huge
,
heterogeneous
,
well-circumscribed
mass
in
the
left
pleural
cavity
.
The
tumour
expanded
locally
towards
the
thoracic
wall
and
left
lung
,
and
displaced
mediastinal
structures
to
the
right
.
There
was
no
lymphadenopathy
on
the
physical
examination
and
CT
scan
.
Abdominal
ultrasonography
was
normal
.
There
was
no
proof
of
tumour
in
the
extremities
and
trunk
.
The
patient
underwent
surgical
excision
of
the
tumour
via
thoracotomy
,
but
because
of
tumour
infiltration
,
part
of
the
third
rib
and
surrounding
wall
were
resected
.
There
was
no
evidence
of
lung
and
mediastinum
involvement
.
The
mass
measured
17
.
5
×
18
×
10
cm
and
weighed
1690
g
.
A
final
diagnosis
of
a
well-differentiated
liposarcoma
-
sclerosing
subtype
-
was
established
after
histological
and
immunohistochemical
staining
.
In
our
opinion
,
the
liposarcoma
in
this
case
originated
from
the
chest
wall
.
Surgical
resection
was
the
only
treatment
.
During
six
months
after
surgery
the
patient
had
no
evidence
of
disease
progression
.
Diseases
Validation
Diseases presenting
"liposarcoma"
symptom
dedifferentiated liposarcoma
erdheim-chester disease
focal myositis
gm1 gangliosidosis
liposarcoma
pleomorphic liposarcoma
well-differentiated liposarcoma
This symptom has already been validated