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Primary mesenteric liposarcoma. Report of a case.

P G Calò¹, S Farris, A Tatti

¹Policlinico Universitario, Monserrato (Cagliari), Dipartimento di Chirurgia.

Il Giornale Di Chirurgia

|September 6, 2007

Summary

Primary mesenteric liposarcomas are rare abdominal tumors. Complete surgical removal is crucial for preventing recurrence and achieving long-term disease-free survival.

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Area of Science:

Oncology
Surgical Pathology

Background:

Primary mesenteric liposarcomas are exceptionally rare neoplasms.
These tumors can present with non-specific gastrointestinal symptoms.

Observation:

A patient presented with dyspeptic syndrome, meteorism, abdominal pain, altered bowel habits, and constipation.
Physical examination revealed a large, well-circumscribed abdominal mass.
Computed tomography showed a dishomogeneous, low-density abdominal mass.

Findings:

Histological examination confirmed a well-differentiated liposarcoma (atypical lipomatous tumor).
The patient underwent successful surgical excision with tumor-free margins.
The patient remained alive and disease-free 33 months post-surgery.

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Implications:

Primary mesenteric liposarcoma is often resectable, necessitating aggressive surgical management.
Wide surgical excision is the treatment of choice due to the high risk of recurrence.
Early diagnosis and complete resection are vital for favorable patient outcomes.