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Therapeutic experience with primary liposarcoma from the sigmoid mesocolon accompanied with well-differentiated liposarcomas in the pelvis.
[well-differentiated liposarcoma]
Multifocal
liposarcoma
with
different
histological
types
is
rare
,
especially
that
originating
from
the
mesentery
.
We
herein
report
a
case
of
primary
myxoid
liposarcoma
from
the
sigmoid
mesocolon
that
was
accompanied
with
well-differentiated
liposarcomas
in
the
pelvis
.
The
location
,
the
fat
signal
and
the
relationship
with
adjacent
organs
of
the
liposarcomas
were
well
shown
in
the
axial
,
coronal
and
sagittal
dimensions
of
MRI
,
giving
a
comprehensive
and
specific
image
before
surgery
.
To
alleviate
the
patient
's
symptoms
and
mental
stress
,
a
laparotomy
was
performed
.
The
tumors
were
all
completely
excised
with
macroscopic
free
margins
.
The
final
histopathological
report
showed
that
the
tumor
in
the
sigmoid
mesocolon
was
a
pure
myxoid
liposarcoma
,
while
the
pelvic
tumors
were
spindle
cell
liposarcomas
,
a
special
type
of
well-differentiated
liposarcoma
.
According
to
the
AJCC
staging
system
,
they
were
all
stage
IIB
.
No
further
adjuvant
therapy
was
performed
.
Close
follow-up
after
the
surgery
has
been
performed
,
and
the
patient
has
remained
healthy
without
any
evidence
of
recurrence
or
metastasis
for
17
months
after
the
surgery
.
Diseases
Validation
Diseases presenting
"specific image"
symptom
well-differentiated liposarcoma
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