Retro-Peritoneal Liposarcoma: Diagnostic Difficulties and Therapeutic Attitudes
Received Date: Nov 06, 2017 / Accepted Date: Nov 14, 2017 / Published Date: Nov 20, 2017
Retro-peritoneal liposarcoma is a rare tumor which preoperative diagnosis and stagging are essential for planning its management.
Methods and results
Case 1: A 60-year-old woman complaining of jaundice. Ultrasonography and Computed tomography revealed a dilatation of the commun bile duct and the wirsung upstream of a tumor of the pancreatic head. The tumor involved the entire upper retroperitoneal space. The lesion was unresectable. A choledocoduodenal anastomosis and a biopsy of the lesion were done. Histo-pathological examination was indicative of a well differentiated liposarcoma. A post-operative chemotherapy has been done.
Case 2: A 75-year-old man complaining of abdominal distension. Ultrasonography and Computed tomography revealed a huge tumor that involved all the right retroperitoneal space associated with two intra peritoneal lesions. At surgery, a right hemi colectomy and a right nephrectomy were performed for complete resection of the tumor. The final histopathological report showed undifferentiated liposarcoma of the retro peritoneum.
Case 3: A 55-year-old lady who had six iterative laparotomy and iterative resections of a retroperitoneal liposarcoma. This attitude has prolonged survival over eight years despite five recurrences.
Total surgical resection provides the patient best chance for cure. It may extend to the adjacent organ for an R0 resection. Recurrences require multiple resections or multi organ resection.
Keywords: Retro-peritoneum; Liposarcoma; Treatment; Recurrence
Citation: Daldoul S, Zahaf B, Ghassen EH, Marwa B, Ben SY, et al. (2017) Retro-Peritoneal Liposarcoma: Diagnostic Difficulties and Therapeutic Attitudes. Surgery Curr Res 7: 302. Doi: 10.4172/2161-1076.1000302
Copyright: © 2017 Daldoul S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
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