Huge mesenteric liposarcoma.

[well-differentiated liposarcoma]

Primary mesenteric liposarcoma is extremely rare and is treated by aggressive surgical management i .e . wide excision with adequate margins (in the absence of distant metastases ). We report a case of huge slow -growing primary mesenteric liposarcoma in a 52 -year -old man , who presented with gross abdominal distension . He was anaemic with pre-operative imaging demonstrating a well-encapsulated huge solid tumour filling the whole abdomen , abutting the anterior abdominal wall without any evidence of distance metastasis or ascites . The patient underwent successful resection of the tumour which weighed 22 kilograms . Histopathology confirmed a well-differentiated liposarcoma with rare mitoses . The patient received full eight cycles of adjuvant chemotherapy . After five years of clinical and imaging follow-up , there was no evidence of metastasis or recurrence of the disease .