Giant recurrent retroperitoneal liposarcoma initially presenting as inguinal hernia: Review of literature.

[well-differentiated liposarcoma]

Liposarcomas comprise around 15 % of soft tissue tumors . These tumors of mesodermal origin arise as single tumors , present one histologic type and diverse locations (including the retroperitoneum ). Diagnosis of liposarcomas of retroperitoneum is difficult because of this unspecific presentation and in 50 -100 % of the cases there is recurrence from residual tissue .An 86 year old male patient was admitted in 1996 due to a right and voluminous inguinal hernia . During the herniaplasty , a right paratesticular tumor was isolated and removed . The histologic exam revealed a well-differentiated liposarcoma . A CT scan was performed and a large abdominal mass was detected . The patient underwent a laparotomy and an incomplete resection of the tumor was achieved . After the surgery the patient remained asymptomatic during a long period . Nine years later , the patient underwent another laparotomy with partial removal of the giant recurrent retroperitoneal liposarcoma .The purpose of this publication is to report the recurrence of giant retroperitoneal liposarcoma , which is an unusual presentation in surgery today . Furthermore , we would like to emphasize the long -term survival of this patient despite partial resection and the possibility of performing a re -resection in this type of cases .

Diseases
Validation

Diseases presenting "old male patient" symptom

benign recurrent intrahepatic cholestasis

congenital adrenal hyperplasia

familial mediterranean fever

legionellosis

pyomyositis

well-differentiated liposarcoma

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