A case of pleomorphic liposarcoma originating from mesentery

The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Jin Young ChoiSo Ya Baik

Abstract

Liposarcoma is one of the most common soft tissue sarcomas that occurs in adults and is currently divided into five main subgroups: well-differentiated, myxoid, round cell, pleomorphic, and dedifferentiated. Primary mesenteric liposarcoma is extremely rare, and the treatment strategy is surgical resection with a wide free margin, often followed by radiation and adjuvant chemotherapy if distant metastasis is not detected. A 73-year-old male patient presented with lower abdominal distension. Abdominal CT scan revealed a large homogeneously enhancing mass lesion abutting the sigmoid colon and urinary bladder. At laparotomy, the solid mass measured 28×26×12 cm in size, was well-demarcated, and originated from the mesentery of the middle ileum. It was removed along with some small intestine (ileocecal valve upper 50-150 cm) and ileal mesentery because of adhesion. Histologically, the tumor proved to be pleomorphic liposarcoma. The patient did not undergo any adjuvant treatment following surgery, but he remains disease free until 33 months after surgery. Herein, we report a case of pleomorphic liposarcoma arising from small bowel mesentery.

References

Jul 29, 2006·Head & Face Medicine·Marika R Dubin, Edward W Chang
Oct 22, 2009·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Bum Suk SonSo Young Jin
Nov 28, 2013·World Journal of Surgical Oncology·Carlo GrifasiAndrea Renda
May 2, 2014·Journal of Gastrointestinal Cancer·Pankaj Kumar GargVinod Kumar Arora

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Citations

Mar 10, 2016·ANZ Journal of Surgery·Alfred WongMichael Levitt
Jul 8, 2019·International Journal of Surgery Case Reports·Mingzhe CaiGrace Hwei Ching Tan

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