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Primary liposarcoma of the jejunum
T Papadopoulos1, T Kirchner, M Bergmann
1Institute of Pathology, Julius Maximilians University of Würzburg, FRG.
Pathology, Research and Practice
|December 1, 1990
Summary
A rare primary liposarcoma of the jejunum in a 52-year-old man presented as a submucosal mass causing obstruction. Histology revealed a mixed-type liposarcoma with recurrence after incomplete resection.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Primary liposarcomas of the small intestine are exceptionally rare.
- Liposarcomas are malignant tumors arising from adipose tissue.
Observation:
- A 52-year-old male presented with symptoms of chronic subileus due to a jejunal obstruction.
- Imaging and subsequent surgery revealed a large submucosal mass in the jejunum.
Findings:
- Histopathological examination confirmed a mixed-type liposarcoma, predominantly well-differentiated lipoma-like and sclerosing types, with areas of pleomorphic liposarcoma containing giant lipoblasts.
- Recurrence of well-differentiated sclerosing and pleomorphic liposarcoma was noted in the intestinal wall and mesentery post-incomplete resection.
Implications:
- This case highlights the unusual presentation and behavior of jejunal liposarcoma.
- The findings underscore the importance of thorough surgical resection and surveillance for rare gastrointestinal malignancies.