Surgical resection of huge retroperitoneal liposarcoma: A case report

Background Liposarcoma is the most prevalent soft tissue sarcoma, which mainly develops in the extremities and retroperitoneal parts. Symptoms like pain, fatigue, constipation, and changes in bowel habits may occur. The definite diagnosis is made by taking a biopsy, and the primary treatment is surgery. Case presentation A 47-year-old Iranian man was admitted to our department with the chief complaint of significant stomach enlargement. He had undergone a left-side herniorrhaphy 12 years ago. Since then, the site of surgery (left inguinal and spermatic cord) has become more prominent and swollen and extended to the left side of his abdomen. The diagnosis was liposarcoma, and the choice of treatment was surgery. Conclusions The keystone of treatment is surgical resection. Many studies have shown that radiotherapy can be beneficial in decreasing the risk of recurrence. It has yet to be proven that chemotherapy can be necessary as a treatment modality unless there is a very high-risk condition with a high possibility of metastasis.