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Case Report: Retroperitoneal Sarcoma in Six Operations: Our Experience in Operative Management of Blood Vessels

Here we introduce a case of retroperitoneal liposarcoma, which is characterized by repeated recurrences after surgery, and has undergone a total of 6 operations. The diameter of the tumor was about 26 cm at the time of the patient's diagnosis. The imaging examination revealed that the surroundi...

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Autores principales: Guo, Jinhui, Qiu, Fabo, Zhao, Jie, Lu, Qiliang, Fu, Wen, Xu, Qiuran, Huang, Dongsheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097944/
https://www.ncbi.nlm.nih.gov/pubmed/35574413
http://dx.doi.org/10.3389/fonc.2022.885033
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author Guo, Jinhui
Qiu, Fabo
Zhao, Jie
Lu, Qiliang
Fu, Wen
Xu, Qiuran
Huang, Dongsheng
author_facet Guo, Jinhui
Qiu, Fabo
Zhao, Jie
Lu, Qiliang
Fu, Wen
Xu, Qiuran
Huang, Dongsheng
author_sort Guo, Jinhui
collection PubMed
description Here we introduce a case of retroperitoneal liposarcoma, which is characterized by repeated recurrences after surgery, and has undergone a total of 6 operations. The diameter of the tumor was about 26 cm at the time of the patient's diagnosis. The imaging examination revealed that the surrounding organs and blood vessels were invaded, which brought great challenges to radical resection. The postoperative pathology of the patient’s first operation was dedifferentiated liposarcoma, and some areas showed myxofibrosarcoma differentiation. With the recurrence of sarcoma, myxofibrosarcoma dedifferentiated into rhabdomyosarcoma, and malignant fibrous histiocytoma appeared in some areas. How to treat this type of patient after recurrence? How to deal with blood vessels wrapped by sarcoma during surgery? The medical community has not yet reached the same conclusion. We describe the process of treating the patient and the experience of dealing with blood vessels during surgery.
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spelling pubmed-90979442022-05-13 Case Report: Retroperitoneal Sarcoma in Six Operations: Our Experience in Operative Management of Blood Vessels Guo, Jinhui Qiu, Fabo Zhao, Jie Lu, Qiliang Fu, Wen Xu, Qiuran Huang, Dongsheng Front Oncol Oncology Here we introduce a case of retroperitoneal liposarcoma, which is characterized by repeated recurrences after surgery, and has undergone a total of 6 operations. The diameter of the tumor was about 26 cm at the time of the patient's diagnosis. The imaging examination revealed that the surrounding organs and blood vessels were invaded, which brought great challenges to radical resection. The postoperative pathology of the patient’s first operation was dedifferentiated liposarcoma, and some areas showed myxofibrosarcoma differentiation. With the recurrence of sarcoma, myxofibrosarcoma dedifferentiated into rhabdomyosarcoma, and malignant fibrous histiocytoma appeared in some areas. How to treat this type of patient after recurrence? How to deal with blood vessels wrapped by sarcoma during surgery? The medical community has not yet reached the same conclusion. We describe the process of treating the patient and the experience of dealing with blood vessels during surgery. Frontiers Media S.A. 2022-04-28 /pmc/articles/PMC9097944/ /pubmed/35574413 http://dx.doi.org/10.3389/fonc.2022.885033 Text en Copyright © 2022 Guo, Qiu, Zhao, Lu, Fu, Xu and Huang https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Guo, Jinhui
Qiu, Fabo
Zhao, Jie
Lu, Qiliang
Fu, Wen
Xu, Qiuran
Huang, Dongsheng
Case Report: Retroperitoneal Sarcoma in Six Operations: Our Experience in Operative Management of Blood Vessels
title Case Report: Retroperitoneal Sarcoma in Six Operations: Our Experience in Operative Management of Blood Vessels
title_full Case Report: Retroperitoneal Sarcoma in Six Operations: Our Experience in Operative Management of Blood Vessels
title_fullStr Case Report: Retroperitoneal Sarcoma in Six Operations: Our Experience in Operative Management of Blood Vessels
title_full_unstemmed Case Report: Retroperitoneal Sarcoma in Six Operations: Our Experience in Operative Management of Blood Vessels
title_short Case Report: Retroperitoneal Sarcoma in Six Operations: Our Experience in Operative Management of Blood Vessels
title_sort case report: retroperitoneal sarcoma in six operations: our experience in operative management of blood vessels
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097944/
https://www.ncbi.nlm.nih.gov/pubmed/35574413
http://dx.doi.org/10.3389/fonc.2022.885033
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