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Case Report
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| Retroperitoneal liposarcoma: A case report | ||||||
| M Sandra Jacob1, Shirali Patel1, Harvey Sasken1, Yomayra Perez1, Valerie Katz1, Mark Ingram1 | ||||||
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1Lincoln Medical and Mental Health Center, Department of Surgery.
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| How to cite this article: |
| Jacob MS, Patel S, Sasken H, Perez Y, Katz V, Ingram M. Retroperitoneal liposarcoma: A case report. International Journal of Case Reports and Images 2014;5(2):108–112. |
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Abstract
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Introduction:
We report an interesting case of a 67-year-old female presented with symptomatic cholelithiasis and was found to have an occult retroperitoneal sarcoma on work up.
Case Report: A 67-year-old female was referred to the surgery clinic by the gynecology service for symptomatic cholelithiasis. On examination, she was moderately obese with mild right upper quadrant tenderness and a reducible incisional hernia. An abdominal ultrasound revealed cholelithiasis and a left retroperitoneal flank mass. She was referred for abdominal computed tomography scan and magnetic resonance imaging scan which revealed a large left retroperitoneal cystic mass adherent to the left kidney. She underwent en-bloc resection of retroperitoneal tumor, cholecystectomy, and repair of incisional hernia. Her postoperative course was uneventful and she continues to do well without adjuvant chemoradiation. Discussion: One-third of malignant tumors located in the retroperitoneum are sarcomas. The median age of presentation occurs in the sixth decade. As with our patient complete surgical resection is the optimal treatment for patients. The addition of adjuvant radiation therapy to surgical resection is associated with both a reduced risk of local recurrence and a longer recurrence-free interval, but it does not improve overall survival. Conclusion: The review of the literature emphasizes that the management of retroperitoneal sarcomas consists of complete resection of the tumor with adjuvant radiotherapy (if the tumor is high grade) combined with surveillance for early liposarcoma detection of recurrence or metastases. | |
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Keywords:
Sarcoma, Liposarcoma, Retroperitoneal tumor
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Author Contributions
M Sandra Jacob – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Shirali Patel – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Harvey Sasken – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Yomayra Perez – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Valerie Katz – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mark Ingram – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© M Sandra Jacob et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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