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Case Report
Giant myxoid liposarcoma of the gluteal region: Resection and buttock reconstruction
1 Chief Consultant and HOD, Department of Plastic Surgery, Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
2 Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Address correspondence to:
Tarun Kumar
Vivekananda Polyclinic and Institute of Medical Sciences, Uttar Pradesh
India
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Article ID: 101413Z01AG2023
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Agarwal A, Kumar T. Giant myxoid liposarcoma of the gluteal region: Resection and buttock reconstruction. Int J Case Rep Images 2023;14(2):69–74.ABSTRACT
Introduction: Soft tissue sarcoma in adult is a rare disease and it needs an interdisciplinary team management. Liposarcoma has mesenchymal origin and arises in the fatty tissue. Multiple histologic subtypes of liposarcoma are recognized, including myxoid liposarcoma. In two-third of the cases, this tumor occurs in the muscle while often demonstrating a misleading benign appearance. Myxoid liposarcoma occurs predominantly in the deep soft tissues of the extremities and has the ability of metastasis to a wide range of soft tissue. Surgery is the main therapeutic modality in treatment of soft tissue sarcoma.
Case Report: Presenting an exceptional case of a 50-year-old woman with history of painless large swelling of size 28×21×13 cm in left gluteal region since one year with rapid progression over three months. It was diagnosed as low grade myxoid liposarcoma of the left buttock. This is the largest reported case of myxoid liposarcoma of extremities in Asia found in literature. The patient was treated with complete excision of tumor with gluteus maximum muscle. Gluteus minimus flap was elevated to cover the exposed sciatic nerve and buttock recontouring was done as single procedure for aesthetically favorable results followed by post-operative radiotherapy and necessary follow-ups.
Conclusion: Buttock contouring done post-resection as single procedure is more acceptable by the patient and has got superior aesthetic results.
Keywords: Buttock reconstruction, Myxoid liposarcoma, Radiotherapy
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Author Contributions
Amit Agarwal - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tarun Kumar - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Amit Agarwal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
