Key result
Complete surgical excision of a giant pleomorphic retroperitoneal liposarcoma was successfully performed in a 56-year-old male patient with an uneventful postoperative recovery.
Why the study?
Retroperitoneal liposarcoma is a rare, biologically heterogeneous tumor that presents considerable diagnostic and surgical challenges due to its size, deep location, and nonspecific symptoms.
Case Report (n=1)
No
Complete surgical excision remains the mainstay of treatment for giant retroperitoneal liposarcomas, allowing for successful management and symptom relief.
Nonspecific symptoms hinder early diagnosis of retroperitoneal liposarcoma; leaves open need for prospective studies on detection strategies.
Retroperitoneal liposarcoma is a rare biologically heterogeneous tumor that present considerable challenges due to its size and deep location.as consequences, the majority of the patients with high grade rpls will develop locally recurrent disease following surgery, and this constitutes the cause of death in most patients. Symptoms are usually nonspecific and they do not appear until the tumor becomes very large. Early diagnosis is difficult as there is an absence of specific clinical presentations. A painless abdominal lump that enlarges in a long period of time in an adult is the most common history of patient. Metastasis at initial presentation is uncommon. Surgical exploration is needed for the final pathological diagnosis. Case presentation: we report a case of 56 year old male patient who underwent a complete surgical excision of pleomorphic retroperitoneal liposarcoma. Retroperitoneal liposarcomas are rare soft tissue sarcoma. They often cause minimal or no symptoms and can reach a significant size, growing undetected in retroperitoneal space before invading or compressing surrounding organs, eventually leading to clinical symptoms. Complete surgical excision is the mainstay of treatment. Whenever possible, macroscopically complete resection should be aimed at, often requiring en bloc removal of adjacent structures such as the abdominal wall, psoas, or paravertebral muscles.
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Patel et al. (2023) conducted a case report in Retroperitoneal liposarcoma (n=1). Complete surgical excision was evaluated on Postoperative recovery and tumor excision. Complete surgical excision of a giant pleomorphic retroperitoneal liposarcoma was successfully performed in a 56-year-old male patient with an uneventful postoperative recovery.
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