A Giant Retroperitoneal Liposarcoma Encasing the Entire Left Kidney and Adherent to Adjacent Structures: A Case Report

Retroperitoneal liposarcoma is a rare tumor. The dimension and weight of liposarcoma are variable; those over 20 kg are called ‘giant liposarcoma’. Herein, we report giant retroperitoneal liposarcoma measuring 45 cm in diameter and 25 kg in weight encasing the entire left kidney and adherent to adja...

Full description

Bibliographic Details
Main Authors: Oh, Sung Don, Oh, Sung Jin, Suh, Byoung Jo, Shin, Jin Yong, Oh, Cheol Kyu, Park, Jong Kwon, Kim, Yeon Mee, Kim, Bo Mi
Format: Online
Language:English
Published: S. Karger AG 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939687/
id pubmed-4939687
recordtype oai_dc
spelling pubmed-49396872016-07-26 A Giant Retroperitoneal Liposarcoma Encasing the Entire Left Kidney and Adherent to Adjacent Structures: A Case Report Oh, Sung Don Oh, Sung Jin Suh, Byoung Jo Shin, Jin Yong Oh, Cheol Kyu Park, Jong Kwon Kim, Yeon Mee Kim, Bo Mi Case Report Retroperitoneal liposarcoma is a rare tumor. The dimension and weight of liposarcoma are variable; those over 20 kg are called ‘giant liposarcoma’. Herein, we report giant retroperitoneal liposarcoma measuring 45 cm in diameter and 25 kg in weight encasing the entire left kidney and adherent to adjacent structures. A 71-year-old woman presented for a regular checkup. Image study revealed a huge mass probably indicative of retroperitoneal liposarcoma encasing the entire left kidney and adherent to adjacent structures. We performed an organ-preserving surgical removal. The pathologic report was liposarcoma. At postoperative month 16, a follow-up CT revealed a locally recurrent tumor. The patient underwent surgical removal of the newly discovered mass. After the second surgery, the patient underwent regular follow-up CT for approximately 12 months, and to date, there has been no evidence of tumor recurrence. High-grade liposarcoma shows sensitivity to radiation therapy. However, the toxic effect of radiation therapy limits this option by treatment modality. The use of chemotherapy is also controversial. As a result, complete resection is the gold standard treatment. Here, we report a giant retroperitoneal liposarcoma encasing the entire left kidney and adherent to adjacent structures, describe successful organ-preserving surgical removal and discuss prognosis. S. Karger AG 2016-06-27 /pmc/articles/PMC4939687/ /pubmed/27462239 http://dx.doi.org/10.1159/000447488 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Oh, Sung Don
Oh, Sung Jin
Suh, Byoung Jo
Shin, Jin Yong
Oh, Cheol Kyu
Park, Jong Kwon
Kim, Yeon Mee
Kim, Bo Mi
spellingShingle Oh, Sung Don
Oh, Sung Jin
Suh, Byoung Jo
Shin, Jin Yong
Oh, Cheol Kyu
Park, Jong Kwon
Kim, Yeon Mee
Kim, Bo Mi
A Giant Retroperitoneal Liposarcoma Encasing the Entire Left Kidney and Adherent to Adjacent Structures: A Case Report
author_facet Oh, Sung Don
Oh, Sung Jin
Suh, Byoung Jo
Shin, Jin Yong
Oh, Cheol Kyu
Park, Jong Kwon
Kim, Yeon Mee
Kim, Bo Mi
author_sort Oh, Sung Don
title A Giant Retroperitoneal Liposarcoma Encasing the Entire Left Kidney and Adherent to Adjacent Structures: A Case Report
title_short A Giant Retroperitoneal Liposarcoma Encasing the Entire Left Kidney and Adherent to Adjacent Structures: A Case Report
title_full A Giant Retroperitoneal Liposarcoma Encasing the Entire Left Kidney and Adherent to Adjacent Structures: A Case Report
title_fullStr A Giant Retroperitoneal Liposarcoma Encasing the Entire Left Kidney and Adherent to Adjacent Structures: A Case Report
title_full_unstemmed A Giant Retroperitoneal Liposarcoma Encasing the Entire Left Kidney and Adherent to Adjacent Structures: A Case Report
title_sort giant retroperitoneal liposarcoma encasing the entire left kidney and adherent to adjacent structures: a case report
description Retroperitoneal liposarcoma is a rare tumor. The dimension and weight of liposarcoma are variable; those over 20 kg are called ‘giant liposarcoma’. Herein, we report giant retroperitoneal liposarcoma measuring 45 cm in diameter and 25 kg in weight encasing the entire left kidney and adherent to adjacent structures. A 71-year-old woman presented for a regular checkup. Image study revealed a huge mass probably indicative of retroperitoneal liposarcoma encasing the entire left kidney and adherent to adjacent structures. We performed an organ-preserving surgical removal. The pathologic report was liposarcoma. At postoperative month 16, a follow-up CT revealed a locally recurrent tumor. The patient underwent surgical removal of the newly discovered mass. After the second surgery, the patient underwent regular follow-up CT for approximately 12 months, and to date, there has been no evidence of tumor recurrence. High-grade liposarcoma shows sensitivity to radiation therapy. However, the toxic effect of radiation therapy limits this option by treatment modality. The use of chemotherapy is also controversial. As a result, complete resection is the gold standard treatment. Here, we report a giant retroperitoneal liposarcoma encasing the entire left kidney and adherent to adjacent structures, describe successful organ-preserving surgical removal and discuss prognosis.
publisher S. Karger AG
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939687/
_version_ 1613606956822429696