Giant retroperitoneal dedifferentiated liposarcoma mimicking ovarian cancer: A case report

被引:5
作者
Tani, Akihiro [1 ]
Tarumi, Yosuke [1 ]
Kakibuchi, Akiyo [1 ]
Aoyama, Kohei [1 ]
Kokabu, Tetsuya [1 ]
Kataoka, Hisashi [1 ]
Yoriki, Kaori [1 ]
Nagamine, Michiko [2 ]
Mori, Taisuke [1 ]
机构
[1] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Obstet & Gynecol, 465 Kajii cho, Kawaramachi Hirokoji, Kamigyo ku, Kyoto 6028566, Japan
[2] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Surg Pathol, 465 Kajii cho, Kawaramachi Hirokoji, Kamigyo ku, Kyoto 6028566, Japan
基金
日本学术振兴会;
关键词
Retroperitoneal tumor; Dedifferentiated liposarcoma; Huge tumor; SARCOMA;
D O I
10.1016/j.gore.2022.101088
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Retroperitoneal liposarcoma is a rare tumor, and its dedifferentiated subtype and a larger diameter are associated with a poor prognosis. However, there are few reports of retroperitoneal liposarcomas, both with a dediffer-entiated subtype and a diameter of >30 cm. We report a case of a giant retroperitoneal liposarcoma with a dedifferentiated subtype. A 78-year-old woman presented to our hospital with abdominal distension and loss of appetite. Computed tomography and magnetic resonance imaging findings revealed a 35-cm-diameter solid tumor in the peritoneal cavity. CA125 (64.8 U/mL) and HE4 (229.0 pmol/L) were elevated preoperatively raising suspicion for ovarian malignancy. However, intraoperative findings revealed that the tumor originated in the retroperitoneal cavity. Reductive surgery for the tumor and partial resection of the sigmoid colon and left ureter were performed, and pathological examination confirmed a retroperitoneal dedifferentiated liposarcoma. Although her symptoms improved postoperatively, she died 11 months after surgery due to disease progression.
引用
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页数:4
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