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Kidney sparing giant retroperitoneal liposarcoma: Case report and literature review
INTRODUCTION: Liposarcoma is the most common variant of soft tissue sarcoma. It often originates in retroperitoneum or perirenal fat. Early diagnosis is extremely difficult due to its location in the retroperitoneum that allows for room for growth. Symptoms would only occur when the tumor becomes ve...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411585/ https://www.ncbi.nlm.nih.gov/pubmed/30856580 http://dx.doi.org/10.1016/j.ijscr.2019.02.008 |
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author | Argadjendra, Masjensen Napitupulu, Rudi Yudadi, Redemptus Hoetama, Sakti Wibowo, Heru Seno |
author_facet | Argadjendra, Masjensen Napitupulu, Rudi Yudadi, Redemptus Hoetama, Sakti Wibowo, Heru Seno |
author_sort | Argadjendra, Masjensen |
collection | PubMed |
description | INTRODUCTION: Liposarcoma is the most common variant of soft tissue sarcoma. It often originates in retroperitoneum or perirenal fat. Early diagnosis is extremely difficult due to its location in the retroperitoneum that allows for room for growth. Symptoms would only occur when the tumor becomes very large and/or invades into adjacent organs. PRESENTATION OF CASE: We report a case of a 30 years old woman who underwent surgical resection for a well-differentiated liposarcoma. CT scan revealed that the mass invaded the left perirenal fascia and displaced the descending colon, pancreas, and duodenum. Complete resection of tumour masses were performed and we opted against nephrectomy due to the tumor's histologic type, the patient's young age, and increased morbidity. DISCUSSION: Treatment for Retroperitoneal Liposarcoma involves R0 resection. In cases where the tumor invades into a nearby organ, it is necessary to weigh the benefit of free margin resection against the adversity of medical complication and quality of life loss. CONCLUSSION: Due to its rate of recurrence, a life long follow up and routine assessment of intraabdominal mass should be integrated into clinical practice in liposarcoma patients. |
format | Online Article Text |
id | pubmed-6411585 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-64115852019-03-28 Kidney sparing giant retroperitoneal liposarcoma: Case report and literature review Argadjendra, Masjensen Napitupulu, Rudi Yudadi, Redemptus Hoetama, Sakti Wibowo, Heru Seno Int J Surg Case Rep Article INTRODUCTION: Liposarcoma is the most common variant of soft tissue sarcoma. It often originates in retroperitoneum or perirenal fat. Early diagnosis is extremely difficult due to its location in the retroperitoneum that allows for room for growth. Symptoms would only occur when the tumor becomes very large and/or invades into adjacent organs. PRESENTATION OF CASE: We report a case of a 30 years old woman who underwent surgical resection for a well-differentiated liposarcoma. CT scan revealed that the mass invaded the left perirenal fascia and displaced the descending colon, pancreas, and duodenum. Complete resection of tumour masses were performed and we opted against nephrectomy due to the tumor's histologic type, the patient's young age, and increased morbidity. DISCUSSION: Treatment for Retroperitoneal Liposarcoma involves R0 resection. In cases where the tumor invades into a nearby organ, it is necessary to weigh the benefit of free margin resection against the adversity of medical complication and quality of life loss. CONCLUSSION: Due to its rate of recurrence, a life long follow up and routine assessment of intraabdominal mass should be integrated into clinical practice in liposarcoma patients. Elsevier 2019-02-21 /pmc/articles/PMC6411585/ /pubmed/30856580 http://dx.doi.org/10.1016/j.ijscr.2019.02.008 Text en © 2019 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Argadjendra, Masjensen Napitupulu, Rudi Yudadi, Redemptus Hoetama, Sakti Wibowo, Heru Seno Kidney sparing giant retroperitoneal liposarcoma: Case report and literature review |
title | Kidney sparing giant retroperitoneal liposarcoma: Case report and literature review |
title_full | Kidney sparing giant retroperitoneal liposarcoma: Case report and literature review |
title_fullStr | Kidney sparing giant retroperitoneal liposarcoma: Case report and literature review |
title_full_unstemmed | Kidney sparing giant retroperitoneal liposarcoma: Case report and literature review |
title_short | Kidney sparing giant retroperitoneal liposarcoma: Case report and literature review |
title_sort | kidney sparing giant retroperitoneal liposarcoma: case report and literature review |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411585/ https://www.ncbi.nlm.nih.gov/pubmed/30856580 http://dx.doi.org/10.1016/j.ijscr.2019.02.008 |
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