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Dedifferentiated Liposarcoma of the Retroperitoneum

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초록

A dedifferentiated liposarcoma of the retroperitoneum is an extremely rare tumor. A 51-year old man was admitted to our department because a retroperitoneal mass was seen on abdominal computed tomography at another hospital. Computed tomography of the abdomen and magnetic resonance imaging showed a large pelvic mass located in the right hemipelvis, and it was pushing the right ureter and invading the right kidney, duodenum, colon and inferior vena cava. The patient underwent right radical nephrectomy, pylorus preserving pancreatoduodenectomy, right hemicolectomy and artificial blood vessel replacement for the inferior vena cava. The histopathological diagnosis was dedifferentiated liposarcoma and the patient was free from recurrence on the computed tomography that was done 6 months after the operation.

Abstract

A dedifferentiated liposarcoma of the retroperitoneum is an extremely rare tumor. A 51-year old man was admitted to our department because a retroperitoneal mass was seen on abdominal computed tomography at another hospital. Computed tomography of the abdomen and magnetic resonance imaging showed a large pelvic mass located in the right hemipelvis, and it was pushing the right ureter and invading the right kidney, duodenum, colon and inferior vena cava. The patient underwent right radical nephrectomy, pylorus preserving pancreatoduodenectomy, right hemicolectomy and artificial blood vessel replacement for the inferior vena cava. The histopathological diagnosis was dedifferentiated liposarcoma and the patient was free from recurrence on the computed tomography that was done 6 months after the operation.

참고문헌 (8)

  1. Antinori A, "Giant retroperitoneal liposarcoma", Am J Surg, 184, pp.56~57 (2002)
  2. Moon WS, "Dedifferentiated liposarcoma of the retroperitoneum: a case report", Korean J Pathol, 27, pp.296~298 (1993)
  3. 조영직, "후복막에 발생한 원발성 역분화성 거대 지방육종 1예", 대한내과학회지, 62(5), pp.10~556 (2002), 대한내과학회
  4. Evans HL, "Liposarcomas: a study of 55 cases with a reassessment of its classification", Am J Surg Pathol, 3, pp.507~523 (1979)
  5. Tateishi U, "Primary dedifferentiated liposarcoma of the retroperitoneum. Prognostic significance of computed tomography and magnetic resonance imaging features", J Comput Assist Tomogr, 27, pp.799~804 (2003)
  6. Malkowicz SB, "Retroperitoneal tumors: diagnosis, staging, surgery, management, and prognosis. Urologic oncology. 1st ed", pp.539~557 (1997), Saunders
  7. Henricks WH, "Dedifferentiated liposarcoma: a clinicopathologic analysis of 155 cases with a proposal for an expanded definition of dedifferentiation", Am J Surg Pathol, 21, pp.271~281 (1997)
  8. McCormick D, "Dedifferentiated liposarcoma. Clinicopathologic analysis of 32 cases suggesting a better prognostic subgroup among pleomorphic sarcomas", Am J Surg Pathol, 18, pp.1213~1223 (1994)

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