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Giant retroperitoneal liposarcoma treated with radical conservative surgery: A case report and review of literature

World Journal of Clinical Cases 2022年第19期10卷 6636-6646页

作者： Eva Lieto Francesca Cardella Silvia Erario Giovanni Del Sorbo Alfonso Reginelli Gennaro Galizia Fabrizio Urraro Iacopo Panarese Annamaria Auricchio Department of Traslational Medical Sciences University of Campania"L.Vanvitelli"Naples 80128CampaniaItaly Department of Precision Medicine University of Campania"L.Vanvitelli"Naples 80138CampaniaItaly Depatment of Pathology Unit-Menthal Health University of Campania"L.Vanvitelli"Naples 80132CampaniaItaly

BACKGROUND retroperitoneal liposarcoma(RLPS)is a rare malignant tumor of the connective tissue and usually grows to a large size,*** is currently based on collective findings from clinical examinations and computed tomography(CT)and magnetic resonance imaging,the latter of which show a fat density mass and possible surrounding organ *** resection is the main therapeutic *** efficacy and safety of further therapeutic choices,such as chemotherapy and radiotherapy,are still *** SUMMARY A 61-year-old man presented with complaint of a large left inguinal mass that had appeared suddenly,after a slight *** revealed an omental inguinal *** further clinical examination,an enormous palpable abdominal mass,continuing from the left inguinal location,was *** revealed a giant RLPS,with remarkable mass effect and wide visceral *** multidisciplinary consultation,surgical intervention was *** neoadjuvant chemotherapy and radiotherapy were precluded by the mass’large size and retroperitoneal localization,features typically associated with non-response to these types of ***,the patient underwent conservative treatment via radical surgical *** 1 year,his clinical condition remained good,with no radiological signs of *** Conservative treatment via surgery resulted in a successful outcome for a large RLPS.

关键词： retroperitoneal liposarcoma Giant sarcoma Sarcoma surgical treatment Sarcoma diagnosis Differentiated liposarcoma retroperitoneal sarcoma surgical outcome Case report

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liposarcoma Retro-Peritoneal in the General Surgery Department of the Hospital of the District of the Commune IV

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Surgical Science 2024年第7期15卷 430-437页

作者： Moussa Samaké Souleymane Bingué Dembelé Yely Dianessy Abdou Guiré Dorcas Laurel Sodjiné Yede Youssouf Boiré Mahamane Dicko Mantia Sara Nouhoum Sanogo Amaguiré Saye Sirama Diarra Brahima Dembele Thierno Nadio Ibrahima Maiga Modibo Diarra Siaka Konaté Birama Cheick Traoré Boubacar Diassana Bathio Traoré Amadou Maiga Boubacar Yoro Sidibé Adégné Togo General Surgery Department of Bamako District IV Hospital Bamako Mali Anesthesia and Resuscitation Service of the Hospital of the District of the Commune IV of Bamako Bamako Mali Anatomopathology Department of the CHU of Point G Bamako Mali Obstetric Gynecology Department of the Bamako District IV Hospital Bamako Mali Department of Ophthalmology of the Hospital of the District of the Commune IV of Bamako Bamako Mali Imaging Service of the Bamako District IV Hospital Bamako Mali Internal Medicine Department of the District Hospital of Commune IV of Bamako Bamako Mali General Surgery Department Kolondjeba Referral Health Centre Sikasso Mali Gynecology and Obstetrics Department of the San Reference Health Center Segou Mali General Surgery Department of Sikasso Hospital Sikasso Mali General Surgery Department of the Gabriel Tour University Hospital Bamako Mali

retroperitoneal soft tissue sarcomas in the retroperitoneal/intra-abdominal regions represent 10% - 15% of all cases of soft tissue sarcoma. liposarcomas, which are the most common histological type, account for 20% - 45% of retroperitoneal/intra-abdominal sarcoma cases, and 20% of liposarcomas cases are primary retroperitoneal liposarcomas. Surgical resection in case of malignancy remains the treatment of choice for liposarcomas, according to the guidelines of most major international companies. Our goal was to improve the management of retroperitoneal liposarcoma. This was a 65-year-old patient, with no medical or surgical history, who was referred to us for abdominal swelling, in whom clinical and paraclinical examination found retroperitoneal liposarcoma stage IV, and the surgical treatment consisted in making a tumor reduction. Conclusion: Retro-peritoneal liposarcoma is an undervalued malignant tumor, and the diagnosis is often late.

关键词： retroperitoneal liposarcoma Diagnostic Delay

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Multiple well-differentiated retroperitoneal liposarcomas with different patterns of appearance on computed tomography:A case report

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World Journal of Clinical Cases 2021年第7期9卷 1661-1667页

作者： Tian-Hao Xie Xiang-Xiang Ren Yan Fu Si-Ning Ha Li-Tao Liu Xiao-Shi Jin Department of General Surgery Affiliated Hospital of Hebei UniversityBaoding 071000Hebei ProvinceChina Department of Ophthalmology Baoding First Central HospitalBaoding 071000Hebei ProvinceChina

BACKGROUND Primary retroperitoneal liposarcoma(PRPLS)is a rare soft tissue tumor with nonspecific clinical symptoms;it has different computed tomography(CT)image features according to pathological *** patients with a single tumor have been previously reported in the *** present an exceptional case of a PRPLS patient with multiple large tumors exhibiting different patterns of appearance on CT and confirmed as atypical lipomatous tumor/welldifferentiated liposarcoma by postoperative *** SUMMARY A 64-year-old man presented with abdominal distension for 1 *** patient was diagnosed with PRPLS based on physical examination,laparotomy,ultrasonography,CT scan,and *** of the tumors were completely resected through surgery and confirmed as atypical lipomatous tumor/welldifferentiated liposarcoma by postoperative *** postoperative course was uneventful without recurrence or metastasis,as demonstrated by abdominalpelvic CT during an 18 mo *** Multiple large Well-differentiated liposarcomas with different patterns of appearance on CT image can occur simultaneously in the same patient,to which more attention should be paid to make an effective differential diagnosis.

关键词： retroperitoneal liposarcoma Soft tissue tumor Complete resection Recurrence Case report

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