Mediastinal liposarcoma: a case report and review of the literature.


Journal

Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382

Informations de publication

Date de publication:
31 Aug 2023
Historique:
received: 12 05 2023
accepted: 07 08 2023
medline: 1 9 2023
pubmed: 31 8 2023
entrez: 30 8 2023
Statut: epublish

Résumé

Mediastinal Liposarcoma (ML) is an exceedingly rare neoplasm, accounting for less than 1% of all liposarcomas. Surgical resection is the most effective therapeutic modality, while adjuvant radiation therapy may be recommended for unresectable tumors. This case report presents a rare case of a 52-year-old Syrian male patient with well-differentiated mediastinal liposarcoma (ML) who presented with exertional dyspnea, cough, and weight loss. Imaging studies revealed a large tumor causing extrinsic compression on the right lung, as well as compression of the heart and great vessels. CT-guided biopsy confirmed a diagnosis of well-differentiated liposarcoma, and the patient underwent surgical resection. The patient had a rapid postoperative recovery and was discharged on the fourth day post-operation, displaying an excellent postoperative status. The patient was followed up for 3 months postoperatively with no recurrence. This report highlights the significance of incorporating ML into the differential diagnosis of mediastinal masses, particularly in individuals presenting with exertional dyspnea and weight loss. Furthermore, this report provides a comprehensive review of previously reported cases of ML in the medical literature.

Sections du résumé

BACKGROUND BACKGROUND
Mediastinal Liposarcoma (ML) is an exceedingly rare neoplasm, accounting for less than 1% of all liposarcomas. Surgical resection is the most effective therapeutic modality, while adjuvant radiation therapy may be recommended for unresectable tumors.
CASE PRESENTATION METHODS
This case report presents a rare case of a 52-year-old Syrian male patient with well-differentiated mediastinal liposarcoma (ML) who presented with exertional dyspnea, cough, and weight loss. Imaging studies revealed a large tumor causing extrinsic compression on the right lung, as well as compression of the heart and great vessels. CT-guided biopsy confirmed a diagnosis of well-differentiated liposarcoma, and the patient underwent surgical resection. The patient had a rapid postoperative recovery and was discharged on the fourth day post-operation, displaying an excellent postoperative status. The patient was followed up for 3 months postoperatively with no recurrence.
CONCLUSION CONCLUSIONS
This report highlights the significance of incorporating ML into the differential diagnosis of mediastinal masses, particularly in individuals presenting with exertional dyspnea and weight loss. Furthermore, this report provides a comprehensive review of previously reported cases of ML in the medical literature.

Identifiants

pubmed: 37649065
doi: 10.1186/s13256-023-04121-7
pii: 10.1186/s13256-023-04121-7
pmc: PMC10469449
doi:

Types de publication

Review Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

372

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

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Auteurs

Jamal Ataya (J)

Faculty of Medicine, University of Aleppo, Aleppo, Syria. dr.jamalataya@gmail.com.

Ali Alakbar Nahle (AA)

Faculty of Medicine, Damascus University, Damascus, Syria.

Hussein Hamdar (H)

Faculty of Medicine, Damascus University, Damascus, Syria.

Amjad Sikaria (A)

Thoracic Surgery, Damascus, Syria.

Younes Souleiman (Y)

Thoracic Surgery, Alassad University Hospital, Damascus, Syria.

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Classifications MeSH