Giant dedifferentiated retroperitoneal liposarcoma.

[dedifferentiated liposarcoma]

A 72 years old lady presented with a gradually increasing abdominal mass for the last 25 years , with more rapid increase in the last 05 years . Examination revealed a large mass spanning the whole abdomen . CAT scan revealed a huge retroperitoneal tumour , with tortuous ureters passing through the tumour and three tiny nodules in the right lung field . A subtotal piecemeal excision of the tumour was done after stenting the ureters with single J stents . The excised tumour mass weighed 46 Kg . The patient had a prolonged ileus that recovered in 5 days . Histopathology revealed the mass to be dedifferentiated liposarcoma . The patient and the family were satisfied with the short -term outcome of the surgery . She was ambulating with little support and was able to manage her daily affairs .