Laparoscopic resection of a metastatic myxoid liposarcoma in the mesentery of the small intestine: a case report.
| Title: | Laparoscopic resection of a metastatic myxoid liposarcoma in the mesentery of the small intestine: a case report. |
|---|---|
| Authors: | Kamehama, Fumika, Kinjo, Tatsuya, Miyagi, Yoshihiro, Furugen, Tomonori, Teruya, Takao, Tamaki, Tomoko, Wada, Naoki, Takatsuki, Mitsuhisa |
| Source: | Surgical Case Reports; 7/21/2023, Vol. 9 Issue 1, p1-8, 8p |
| Subject Terms: | LAPAROSCOPIC surgery, SMALL intestine, CONTRAST-enhanced magnetic resonance imaging, MESENTERY, POSITRON emission tomography, LIPOSARCOMA |
| Abstract: | Background: Myxoid liposarcoma (MLS), with its risk factors, tends to spread to the lungs and extraperitoneally, with intraperitoneal metastases occurring rarely. We present an unusual case of a myxoid liposarcoma that metastasized to the abdominal organs. Case presentation: A 60-year-old female patient was referred to our hospital for the evaluation of a right upper limb tumor that had been growing for 7 years. The patient refused surgery, and during follow-up, tumor hemorrhage resulted in hemorrhagic shock. The patient's right upper limb was immediately amputated. MLS was diagnosed histopathologically. Subsequently, the patient underwent adjuvant chemotherapy. Computed tomography (CT) revealed a right buttock mass, a pelvic mass, and left cardiophrenic angle lymph nodes 3 years after the initial surgery. Contrast-enhanced abdominal CT revealed a relatively low-density, lobulated pelvic tumor. Contrast-enhanced pelvic magnetic resonance imaging (MRI) revealed a low-intensity, lobulated mass on T1-weighted images and a high-intensity mass on T2-weighted images. The pelvic mass showed no significant fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET)-CT. On clinical examination, gynecological malignancies were ruled out as the origin of the pelvic lesions. After resection of the right buttock mass, pelvic mass, and left cardiophrenic angle lymph nodes, the patient underwent laparoscopic surgery for a preoperative diagnosis of small intestinal mesenteric metastasis of MLS. A tumor was found in the mesentery of the small intestine and removed with a margin of 5 cm on both the proximal and distal sides. The specimen measured 10 × 8 × 5 cm and contained a multifocal mass. The tumor was found in the mesentery of the small intestine, with no mucosal or submucosal invasion. The patient was diagnosed with MLS with small mesenteric intestinal metastases. On postoperative day 8, the patient was discharged after an uneventful postoperative course. Twelve months after the surgery, there was no evidence of local or distant recurrence. Conclusions: Small intestinal mesenteric metastases of MLSs are rare. Moreover, there are few reports on laparoscopic resection. In this case, the laparoscopic approach was useful in detecting the tumor location and determining the range of resection. [ABSTRACT FROM AUTHOR] |
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| Database: | Complementary Index |
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| Items | – Name: Title Label: Title Group: Ti Data: Laparoscopic resection of a metastatic myxoid liposarcoma in the mesentery of the small intestine: a case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Kamehama%2C+Fumika%22">Kamehama, Fumika</searchLink><br /><searchLink fieldCode="AR" term="%22Kinjo%2C+Tatsuya%22">Kinjo, Tatsuya</searchLink><br /><searchLink fieldCode="AR" term="%22Miyagi%2C+Yoshihiro%22">Miyagi, Yoshihiro</searchLink><br /><searchLink fieldCode="AR" term="%22Furugen%2C+Tomonori%22">Furugen, Tomonori</searchLink><br /><searchLink fieldCode="AR" term="%22Teruya%2C+Takao%22">Teruya, Takao</searchLink><br /><searchLink fieldCode="AR" term="%22Tamaki%2C+Tomoko%22">Tamaki, Tomoko</searchLink><br /><searchLink fieldCode="AR" term="%22Wada%2C+Naoki%22">Wada, Naoki</searchLink><br /><searchLink fieldCode="AR" term="%22Takatsuki%2C+Mitsuhisa%22">Takatsuki, Mitsuhisa</searchLink> – Name: TitleSource Label: Source Group: Src Data: Surgical Case Reports; 7/21/2023, Vol. 9 Issue 1, p1-8, 8p – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22LAPAROSCOPIC+surgery%22">LAPAROSCOPIC surgery</searchLink><br /><searchLink fieldCode="DE" term="%22SMALL+intestine%22">SMALL intestine</searchLink><br /><searchLink fieldCode="DE" term="%22CONTRAST-enhanced+magnetic+resonance+imaging%22">CONTRAST-enhanced magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22MESENTERY%22">MESENTERY</searchLink><br /><searchLink fieldCode="DE" term="%22POSITRON+emission+tomography%22">POSITRON emission tomography</searchLink><br /><searchLink fieldCode="DE" term="%22LIPOSARCOMA%22">LIPOSARCOMA</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Myxoid liposarcoma (MLS), with its risk factors, tends to spread to the lungs and extraperitoneally, with intraperitoneal metastases occurring rarely. We present an unusual case of a myxoid liposarcoma that metastasized to the abdominal organs. Case presentation: A 60-year-old female patient was referred to our hospital for the evaluation of a right upper limb tumor that had been growing for 7 years. The patient refused surgery, and during follow-up, tumor hemorrhage resulted in hemorrhagic shock. The patient's right upper limb was immediately amputated. MLS was diagnosed histopathologically. Subsequently, the patient underwent adjuvant chemotherapy. Computed tomography (CT) revealed a right buttock mass, a pelvic mass, and left cardiophrenic angle lymph nodes 3 years after the initial surgery. Contrast-enhanced abdominal CT revealed a relatively low-density, lobulated pelvic tumor. Contrast-enhanced pelvic magnetic resonance imaging (MRI) revealed a low-intensity, lobulated mass on T1-weighted images and a high-intensity mass on T2-weighted images. The pelvic mass showed no significant fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET)-CT. On clinical examination, gynecological malignancies were ruled out as the origin of the pelvic lesions. After resection of the right buttock mass, pelvic mass, and left cardiophrenic angle lymph nodes, the patient underwent laparoscopic surgery for a preoperative diagnosis of small intestinal mesenteric metastasis of MLS. A tumor was found in the mesentery of the small intestine and removed with a margin of 5 cm on both the proximal and distal sides. The specimen measured 10 × 8 × 5 cm and contained a multifocal mass. The tumor was found in the mesentery of the small intestine, with no mucosal or submucosal invasion. The patient was diagnosed with MLS with small mesenteric intestinal metastases. On postoperative day 8, the patient was discharged after an uneventful postoperative course. Twelve months after the surgery, there was no evidence of local or distant recurrence. Conclusions: Small intestinal mesenteric metastases of MLSs are rare. Moreover, there are few reports on laparoscopic resection. In this case, the laparoscopic approach was useful in detecting the tumor location and determining the range of resection. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Group: Ab Data: <i>Copyright of Surgical Case Reports is the property of Japan Surgical Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1186/s40792-023-01715-7 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 1 Subjects: – SubjectFull: LAPAROSCOPIC surgery Type: general – SubjectFull: SMALL intestine Type: general – SubjectFull: CONTRAST-enhanced magnetic resonance imaging Type: general – SubjectFull: MESENTERY Type: general – SubjectFull: POSITRON emission tomography Type: general – SubjectFull: LIPOSARCOMA Type: general Titles: – TitleFull: Laparoscopic resection of a metastatic myxoid liposarcoma in the mesentery of the small intestine: a case report. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Kamehama, Fumika – PersonEntity: Name: NameFull: Kinjo, Tatsuya – PersonEntity: Name: NameFull: Miyagi, Yoshihiro – PersonEntity: Name: NameFull: Furugen, Tomonori – PersonEntity: Name: NameFull: Teruya, Takao – PersonEntity: Name: NameFull: Tamaki, Tomoko – PersonEntity: Name: NameFull: Wada, Naoki – PersonEntity: Name: NameFull: Takatsuki, Mitsuhisa IsPartOfRelationships: – BibEntity: Dates: – D: 21 M: 07 Text: 7/21/2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 21987793 Numbering: – Type: volume Value: 9 – Type: issue Value: 1 Titles: – TitleFull: Surgical Case Reports Type: main |
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