INTRODUCTION: myxoid liposarcoma approximately constitutes 20% of all mesenchymal malignancies preferably occurring in adults with prevalent localization in arts even if there are rare intra-abdominal locations: only 3 cases reported in the literature. We present a case of myxoid liposarcoma with colic localization outlining a diagnostic and therapeutic procedure through a literature’s review. CASE REPORT: We observed a 37 year-old man in January 2007 because of colic pain in the middle abdomen, dyspepsia and constipation. The CT with contrast agent showed a capsulated solid mass with net margins, lobules and adipose tissue component compressing and displacing small bowel. After incision we found a polypoid mass of 24 cm with extraluminal development arising from right colon. Total mass, terminal ileum and right colon were excised; an ileo-colic anastomosis was performed. According to the literature it was not practised any adjuvant treatment. After one year the patient presented a local peritoneal recurrences surgically excised. CONCLUSIONS: the diagnostic process is not yet well defined. Only surgery and histologic examination are able to clarify lesion’s nature. Also surgical treatment is not yet well established, although many authors suggest a total excision of lesion without reference to lymphadenectomy. As for the role of chemotherapy only one case was reported in the literature; myxoid liposarcoma is considered an histotype with intermediate degree of malignancy therefore it should be considered a potential malignant neoplasm and chemotherapy would be justified. Total surgical resection with or without adjuvant radio-chemiotherapy could have a strong impact on the prognosis and follow-up.

PALADINO, N.C., MORFINO, G., DI PAOLA, V., VETRI, R., SCERRINO, G., SALAMONE, G., et al. (2008). COLONIC LOCALIZATION OF MYXOID LIPOSARCOMA: CASE REPORT. In Atti XXI Congresso Nazionale SPIGC (pp.47-48). Perugia : Società Italiana Giovani Chirurghi.

COLONIC LOCALIZATION OF MYXOID LIPOSARCOMA: CASE REPORT

PALADINO, Nunzia Cinzia;SALAMONE, Giuseppe;GULOTTA, Gaspare;MORFINO, Giuditta;DI PAOLA, Valentina;VETRI, Roberta
2008-01-01

Abstract

INTRODUCTION: myxoid liposarcoma approximately constitutes 20% of all mesenchymal malignancies preferably occurring in adults with prevalent localization in arts even if there are rare intra-abdominal locations: only 3 cases reported in the literature. We present a case of myxoid liposarcoma with colic localization outlining a diagnostic and therapeutic procedure through a literature’s review. CASE REPORT: We observed a 37 year-old man in January 2007 because of colic pain in the middle abdomen, dyspepsia and constipation. The CT with contrast agent showed a capsulated solid mass with net margins, lobules and adipose tissue component compressing and displacing small bowel. After incision we found a polypoid mass of 24 cm with extraluminal development arising from right colon. Total mass, terminal ileum and right colon were excised; an ileo-colic anastomosis was performed. According to the literature it was not practised any adjuvant treatment. After one year the patient presented a local peritoneal recurrences surgically excised. CONCLUSIONS: the diagnostic process is not yet well defined. Only surgery and histologic examination are able to clarify lesion’s nature. Also surgical treatment is not yet well established, although many authors suggest a total excision of lesion without reference to lymphadenectomy. As for the role of chemotherapy only one case was reported in the literature; myxoid liposarcoma is considered an histotype with intermediate degree of malignancy therefore it should be considered a potential malignant neoplasm and chemotherapy would be justified. Total surgical resection with or without adjuvant radio-chemiotherapy could have a strong impact on the prognosis and follow-up.
XXI Congresso Nazionale SPIGC
Perugia
17 Giugno 2008
XXI Congresso Nazionale SPIGC
2008
2
http://stampamedica.it/congressi/
- ISSN:
PALADINO, N.C., MORFINO, G., DI PAOLA, V., VETRI, R., SCERRINO, G., SALAMONE, G., et al. (2008). COLONIC LOCALIZATION OF MYXOID LIPOSARCOMA: CASE REPORT. In Atti XXI Congresso Nazionale SPIGC (pp.47-48). Perugia : Società Italiana Giovani Chirurghi.
Proceedings (atti dei congressi)
PALADINO, NC; MORFINO, G; DI PAOLA, V; VETRI, R; SCERRINO, G; SALAMONE, G; GULOTTA,G
File in questo prodotto:
File Dimensione Formato  
SPIGC2008_programma.pdf

Solo gestori archvio

Dimensione 3.6 MB
Formato Adobe PDF
3.6 MB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/35974
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact