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Extraosseous osteogenic sarcoma arising from the retroperitoneum: A case report

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Abstract

A 44-year-old housewife with a mass in the left upper quadrant of the abdomen was admitted. The tentative diagnosis was cystadenocarcinoma arising from the pancreatic tail, as determined by CT and selective angiography. Excision of the mass with removal of the spleen, pancreatic tail, left renal capsule and surrounding lymphnodes was performed. Photomicroscopic sections revealed proliferation of malignant cells and malignant osteoids. The final diagnosis was osteogenic sarcoma arising from the retroperitoneum. among the extraosseous osteogenic sarcoma arising from the somatic soft tissue, involvement of the retroperitoneum is rare. Only 12 cases including our own case have been reported as being of retroperitoneal origin. No patient survived for five years and in our patient, there are signs of recurrence one year after the surgery.

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References

  1. Valderrama E, Kahn LB, Wind E. Extraskeletal osteosarcoma arising in an ectopic hamartomatous thymus. Report of a case and review of the literature. Cancer 1983; 51: 1132–1137.

    Article  PubMed  CAS  Google Scholar 

  2. Wilson H. Extraskeletal ossifying tumor. Ann Surg 1941; 113: 95–113.

    Article  CAS  PubMed  Google Scholar 

  3. Fine G, Stout P. Osteogenic sarcoma of the extraskeletal soft tissues. Cancer 1956; 9: 1027–1043.

    Article  PubMed  CAS  Google Scholar 

  4. McIntyre M, Webb JN, Browing GCP. Osteosarcoma of the esophagus. Hum Pathol 1982; 13: 680–682.

    PubMed  CAS  Google Scholar 

  5. Mertens HH, Langnickel D, Staedler F. Primary osteogenic sarcoma of the breast. Acta Cytol 1982; 26: 512–516.

    PubMed  CAS  Google Scholar 

  6. Allan CJ, Soule EH. Osteogenic sarcoma of the somatic soft tissues. Clinicopathologic study of 26 cases and review of literature. Cancer 1971; 27: 1121–1133.

    Article  PubMed  CAS  Google Scholar 

  7. Sordillo PP, Hadju SI, Magill GB, Golbey RB. Extraosseous osteogenic sarcoma. A review of 48 patients. Cancer 1983; 51: 727–734.

    Article  PubMed  CAS  Google Scholar 

  8. Stackhouse CL, Bunkis J, Alpern HD. Extraosseous osteosarcoma. NY State J Med 1983; 83: 990–993.

    CAS  Google Scholar 

  9. Belasco JB, Meadows AT, Chatten J, Borden S, Schnaufer L. Extraskeletal osteogenic sarcoma after treatment for Wilm's tumor. Cancer 1982; 50: 1894–1898.

    Article  PubMed  CAS  Google Scholar 

  10. Kubo M. Beitrag zum Studium der primären Mesenterialgeschwülste. Mitt Med Akad Kioto 1934; 11: 302–303.

    Google Scholar 

  11. Meister P, Konrad EA, Stolz S. Extraskeletal osteosarcoma. Case report and differential diagnosis. Arch Orthop Traumat Surg 1981; 98: 311–314.

    Article  CAS  Google Scholar 

  12. Hammer HG, Wishard WMN Jr. Osteogenic sarcoma involving the right kidney. J Urol 1948; 60: 10–17.

    Google Scholar 

  13. Allen AG. Personal communication-cited by 3.

  14. Wurlitzer F, Ayala A, Romsdahl M. Extraosseous osteogenic sarcoma. Arch Surg 1972; 105: 691–695.

    PubMed  CAS  Google Scholar 

  15. Case 44112. Case records of the Massachusetts General Hospital. N Engl J Med 1958; 258: 554–558.

    Article  Google Scholar 

  16. Lowry K Jr, Haynes CD. Osteogenic sarcoma of extraskeletal soft tissues: a case report. Am Surg 1964; 30: 97–100.

    PubMed  Google Scholar 

  17. Rachman R, Massa EVD. Pelvic extraskeletal osteosarcoma associated with prostatic adenocarcinoma. Am J Clin Pathol 1965; 44: 556–562.

    PubMed  CAS  Google Scholar 

  18. Järvi OH, Kvist HTA, Vainio PV. Extraskeletal retroperitoneal osteosarcoma probably arising from myositis ossificans. Acta Pathol Microbiol Scand 1968; 74: 11–25.

    Article  PubMed  Google Scholar 

  19. Tortora MJ, Aseltine DT Jr, DeMaio JT, Mannix H Jr.: Primary retroperitoneal extraosseous osteogenic sarcoma: a case report and review of the literature. Am Surg 1977; 43: 755–759.

    PubMed  CAS  Google Scholar 

  20. Ichijo S, Yokoyama J, Kuroda K. Osteogenic sarcoma arising from the renal capsule: a case report. Nippon Hinyokika Gakkai Zasshi (J Jpn Urolog Soc) 1972; 63: 573 (in Japanese).

    Google Scholar 

  21. Stauss HK, Jackson M. Osteogenic sarcoma arising in traumatic hemothorax and hematoma of the thoracic wall. Surgery 1951; 29: 917–928.

    PubMed  CAS  Google Scholar 

  22. Ascenzi A, Casagrande A, Ribotta G. On radiation-induced extraskeletal osteosarcoma: report of a case. Tumori 1980; 66: 261–268.

    PubMed  CAS  Google Scholar 

  23. Rao U, Chieng A, Didolkar MS. Extraosseous osteogenic sarcoma. Cancer 1978; 41: 1488–1496.

    Article  PubMed  CAS  Google Scholar 

  24. Lewis RJ, Lotz MJ, Beazley RM. Extraosseous osteosarcoma: case report and approach to therapy. Am Surg 1974; 40: 597–600.

    PubMed  CAS  Google Scholar 

  25. Lorentzon R, Larsson S-E, Boquist L. Extraosseous osteosarcoma. A clinical and histopathological study of four cases. J Bone Joint Surg 1979; 61-B: 205–208.

    CAS  Google Scholar 

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Kasahara, Y., Takemoto, M., Nakao, K. et al. Extraosseous osteogenic sarcoma arising from the retroperitoneum: A case report. The Japanese Journal of Surgery 15, 488–494 (1985). https://doi.org/10.1007/BF02470096

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  • DOI: https://doi.org/10.1007/BF02470096

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