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Well-differentiated giant "lipoma-like" liposarcoma of the posterior mediastinum: a case report.

Authors
  • Paci, Massimiliano
  • De Franco, Salvatore
  • Cavazza, Alberto
  • Annessi, Valerio
  • Ferrari, Guglielmo
  • Falco, Francesco
  • Sgarbi, Giorgio
Type
Published Article
Journal
Chirurgia italiana
Publication Date
Jan 01, 2003
Volume
55
Issue
1
Pages
101–104
Identifiers
PMID: 12633046
Source
Medline
License
Unknown

Abstract

While liposarcoma is the most common malignant mesenchymal neoplasm in adults, a mediastinal position is rare. We describe here the case of a 74-year-old female with an hourglass-shaped mass in the posterior mediastinum, which was probably present on a roentgenogram 4 years earlier. On a CT scan of the chest, the mass appeared non-homogeneous with a mainly adipose content. A preoperative ultrasonically guided tru-cut transthoracic biopsy revealed the presence of adipose tissue with mildly atypical cytological features. The mass was therefore completely excised by means of a right thoracotomy. The postoperative course was uneventful and the patient is alive and well and has had no recurrence in the 6 months since surgery. We review here the natural history, pathology, and prognosis of the disease, and discuss methods of diagnosis and management of such lesions.

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