Giant retroperitoneal myolipoma mimicking liposarcoma: report of a resected case and review of the literature

Abstract Myolipomas are rare tumors that are often difficult to differentiate from liposarcoma. Herein, we report a case of resected giant myolipoma preoperatively diagnosed as liposarcoma. A 63-year-old woman was suspected of having a large retroperitoneal liposarcoma on October 202X. The patient was referred to our department for tumor resection and a histological diagnosis. After consultation with the urology, obstetric and gynecology, and vascular surgery departments, tumor resection was planned, including the potential resection of other organs. Intraoperative findings revealed a large, elastic, soft tumor with a smooth surface and a capsule occupying the entire abdominal cavity. The tumor was adherent to the stomach, left colon, and uterine adnexa, and no invasion was observed. The tumor was completely resected, and organ resection was not necessary. The tumor was 40 cm in diameter and 4.0 kg in weight. Pathological examination and immunostaining confirmed a diagnosis of myolipoma. The patient’s postoperative course was uneventful, and she was discharged on postoperative day 10 with no complications. Twelve months after surgery, the patient was doing well. To the best of our knowledge, we report a complete resection of the largest retroperitoneal myolipoma reported to date. Physicians should consider surgery, even for suspected large sarcomas that may be difficult to resect completely..

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

International Cancer Conference journal - 13(2024), 2 vom: 05. Feb., Seite 144-152

Sprache:

Englisch

Beteiligte Personen:

Mori, Kosuke [VerfasserIn]
Igarashi, Takamichi [VerfasserIn]
Noguchi, Akira [VerfasserIn]
Ito, Miki [VerfasserIn]
Nagaoka, Yasuhiro [VerfasserIn]
Takeshita, Chitaru [VerfasserIn]
Takeda, Naoya [VerfasserIn]
Watanabe, Toru [VerfasserIn]
Yoshioka, Isaku [VerfasserIn]
Hirabayashi, Kenichi [VerfasserIn]
Fujii, Tsutomu [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Case report
Female
Immunostaining
Middle-aged
Myolipoma
Retroperitoneal liposarcoma

Anmerkungen:

© The Author(s) under exclusive licence to The Japan Society of Clinical Oncology 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s13691-024-00655-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR055244327