Journal of Gastrointestinal Surgery

, Volume 10, Issue 5, pp 652–656 | Cite as

Liposarcoma of the colon: A case report and review of the literature

  • Eugene Gutsu
  • Gheorghe Ghidirim
  • Ion Gagauz
  • Igor Mishin
  • Iraida Iakovleva
Original Article
  • 62 Downloads

Abstract

Liposarcoma is a malignant mesenchymal tumor frequently located in the retroperitoneum and rarely presents as an isolated lesion in the colon. To our knowledge, only three cases of primary colon liposarcoma have been reported in the world literature to date. In this article, we report a case of liposarcoma of the colon in a 46-year-old man. The patient presented with abdominal pain and a palpable mass. Abdominal ultrasonography and computed tomogram confirmed the presence of a large intra-abdominal fatty tissue mass, but the colon origin of the tumor was revealed only on laparotomy. During surgery, a voluminous (12 cm × 11 cm × 10 cm) lesion situated in the subserosa of the ascending colon was found, and a right hemicolectomy with radical lymph node dissection was performed. The pathological diagnosis of the resected tumor revealed primary colon liposarcoma (myxoid subtype). The postoperative course was uneventful, and the patient remained free of disease for 12 months. No adjuvant therapy was performed. Diagnostic and therapeutic problems related to this type of neoplasm as well as literature reviews are reported. Curative R0 resection remains the main treatment for primary and recurrent liposarcomas.

Key words

Colon liposarcoma mesocolon 

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Copyright information

© The Society for Surgery of the Alimentary Tract 2006

Authors and Affiliations

  • Eugene Gutsu
    • 1
  • Gheorghe Ghidirim
    • 1
  • Ion Gagauz
    • 1
  • Igor Mishin
    • 1
  • Iraida Iakovleva
    • 2
  1. 1.From the First Department of Surgery N. Anestiadi and Laboratory of Hepato-Pancreato-Biliary SurgeryMedical University N. TestemitsanuKishinevMoldova
  2. 2.Department of PathologyMedical University N. TestemitsanuKishinevMoldova

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