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Retroperitoneal liposarcoma in a nonagenarian
King Tung Cheung1, Catherine Mitchell2, Enoch Wong1
1Monash University, Eastern Health Clinical School, Box Hill, Victoria, Australia.
Autopsy & Case Reports
|July 19, 2021
Summary
This case report details a rare retroperitoneal liposarcoma in an elderly patient, highlighting challenges in surgical resection of these large, slow-growing mesenchymal tumors.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Retroperitoneal liposarcomas are rare, slow-growing mesenchymal tumors with a generally poor prognosis.
- These tumors often present asymptomatically until they reach a significant size, complicating management.
Observation:
- A case of a large retroperitoneal liposarcoma is presented in a 93-year-old female.
- The liposarcoma was located at the site of a previous colonic anastomosis for adenocarcinoma treatment.
- The tumor caused minimal initial symptoms but demonstrated significant growth.
Findings:
- Surgical resection was attempted but ultimately abandoned due to the tumor's extensive size and invasion of surrounding structures.
- This represents a previously undescribed instance of a retroperitoneal liposarcoma arising at a colonic resection site.
Implications:
- The case underscores the diagnostic and management challenges posed by large retroperitoneal liposarcomas, particularly in elderly patients.
- It highlights the need for careful consideration of surgical feasibility and potential complications in managing these rare tumors.
- The report contributes to the literature by describing a unique presentation and location of retroperitoneal liposarcoma.
