Giant liposarcoma of the back with 4 types of histopathology: a case report (original) (raw)
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Liposarcoma of the Back: Case Report
Surgical Science, 2019
Liposarcoma is a particular form of soft tissue sarcoma. First described by Virchow in 1860, liposarcoma is a rare mesenchymal tumor [1]. It represents 14% to 18% of all malignant tumors of the soft tissues and constitutes the most frequent soft tissue sarcoma [2]. For the majority of authors, it affects adult after the fourth decade. Because of the unusual age, we report a case of largeliposarcoma of the dorsal surface of the trunk. The appearance of the operative part made us think of a possible malignancy. A 35-year-old man without a notable patient history was admitted for a mass of the back discovered three years before without any notion of trauma. The patient affirms the recent appearance of an induration motivating the consultation. There were no associated signs such rectorrhagia, hematemesis, emaciation, pain. The physical examination finds a patient in good general condition. Locally, there is a swelling of the right lateral part of the 1/3 middle part of the back. It is an oval swelling of 25 cm long axis. Any fat tumor having a size more than 5 cm must therefore receive special attention even before the fourth decade.
Giant lipoma of the upper back: A case report
Our Dermatology Online, 2015
Lipomas are the most frequent benign tumors of mesenchymal origin. Lipomas may become giant masses, due to usually asymptomatic, painless, slow growing soft tissue tumours. They are more common 5-10 times in males and appearing to avarage age fifth decade of life. Although differantion between lipoma and liposarcoma of low grade malignancy conflict, total surgical excision is adequate treatment. İn this case report, we present 70 years old male with giant back of left shoulder mass as lipoma after surgical excision and histopathological examination.
Spectrum of liposarcomas-a study of 106 cases
Journal of Ayub Medical College, Abbottabad : JAMC
Liposarcoma is a malignant tumour that arises in fat cells in deep soft tissue. This study was conducted to access the spectrum of liposarcomas This descriptive study was conducted at Armed Forces Institute of Pathology (AFIP), Rawalpindi from 1st January 2008 to 31st December, 2012 and included all the cases diagnosed as liposarcomas. Records of the malignant tumors of soft tissue that presented during this period were analysed and out of this spectrum of liposarcomas were studied. A total of 19367 malignant tumours were diagnosed during study period. Out of these, 615 were malignant soft tissue tumours. Out of these 106 cases were liposarcoma with an overall frequency of 0.54% of the malignant neoplasm and 17.24% of soft tissue sarcomas .The age ranged from 26-85 years. Out of these 106 cases 77 were male and 29 were female with a male to female ratio of 2.6:1. The most common tumour seen was pleomorphic liposarcoma (42.5%) followed by myxoid liposarcoma (22.6%), dedifferentiated ...
Giant Liposarcoma in Scapular Region: A Case Report
Journal of Evolution of medical and Dental Sciences, 2014
Liposarcoma is the most common soft tissue sarcoma in adults, which usually involves lower extremities, trunk, retroperitoneum, or abdominal cavity. Till date, only a few cases of enormously huge liposarcoma have been reported. We report a case of huge mass of size 60 × 45 × 35 cm in scapular region in a middle aged person; which developed from a preexisting lipoma and was gradually increased in size as sub-mucosal non-ulcerated mass and which ultimately become ulcerated and infected with gas forming organisms. This tumor was successfully resected in toto under general anesthesia and after follow up to two years no recurrence was reported.
Giant Lipomas: A Series of 12 Consecutive Cases and a Giant Liposarcoma of the Thigh
Dermatologic Surgery, 2004
BACKGROUND. The clinical presentation and character of giant lipomas create diagnostic problems because of their close relationship with other mesenchymal benign and malign tumors. It is therefore of primary importance for the clinician to be familiar with epidemiologic and anatomic attributes of these lesions. OBJECTIVE. To evaluate and compare epidemiologic and clinical characteristics of giant lipomas operated in our clinic. METHODS. Twelve giant lipomas and one giant liposarcoma are included in the study. RESULTS. There were seven females and six males. The patients ranged in age between 22 and 75. The tumor duration was between 2 months and 40 years. The smallest lipoma size was 10 Â 5 Â 3 cm, and the largest was 19 Â 9 Â 5 cm. Two of the lipomas were located intermuscular. Mild hematoma formation was observed in two patients. Histopathologic evaluation was done for all specimens, and one myxoid liposarcoma was encountered. CONCLUSION. When dealing with giant lipomas, liposarcomas should always be included in the differential diagnosis.
International Surgery Journal, 2022
Lipoma is one of the most common soft tissue tumor arising from the mesenchyme. It is slow growing, encapsulated, and usually benign in nature. Tumors over the back, shoulder, and neck region have a high propensity to assume large size thereby getting redefined as a giant lipoma when they exceed 10 cm in width or weigh more than 1000 grams. MRI is the investigation of choice for evaluating giant lipomas. Fine needle aspiration cytology (FNAC) or frozen section may be pertinent in suspected cases of liposarcoma. Complete surgical incision is the treatment of choice. A case of a giant lipoma on the back of a 64-year-old lady is presented with a view to revisit conceptual understanding of the clinical evaluation, investigation, and management of giant lipomas.
Giant gluteal lipoma-like liposarcoma: a case report
World Journal of Surgical Oncology, 2008
Background Liposarcoma is the second most common soft tissue sarcoma in adults with a peak incidence between the 4th and 6th decade of life and slight preponderance to the male gender. It originates from multipotential primitive mesenchymal cells, rather than mature adipose tissue. Case presentation An unusual case of a rapidly growing giant lipoma-like liposarcoma of the left gluteal and perineal areas in a young male was presented. The patient was managed by wide local excision of the lesion and coverage with split thickness skin graft. The key issues surrounding the treatment of lipoma-like liposarcoma and literature review is discussed. Conclusion For such unusual case of this particular rapidly growing tumor, a longer follow-up is needed to evaluate the outcome in these cases.