Recurrent Chest Wall Dedifferentiated Liposarcoma, Huge Size at Presentation, Case Report and Review of the Literature
Published: 2020-09-18
Page: 205-210
Issue: 2020 - Volume 3 [Issue 2]
Abdulaziz Alhawas
Department of Orthopedics, King Fahad Specialist Hospital, Saudi Arabia.
Ali Almomen
Department of Orthopedics, King Fahad Specialist Hospital, Saudi Arabia.
Fuad Aladel
Department of Medical Imaging, King Fahad Specialist Hospital, Saudi Arabia.
Najla Aldaoud
Department of Pathology and Laboratory Medicine, King Fahad Specialist Hospital, Saudi Arabia.
Zahra Alkhalifah
Department of Pathology and Laboratory Medicine, King Fahad Specialist Hospital, Saudi Arabia.
Manal Alnaimi
Department of Surgery, King Fahad Specialist Hospital, Saudi Arabia.
Saed Al Habib
Department of Surgery, King Fahad Specialist Hospital, Saudi Arabia.
Emad Al Absi *
Department of Orthopedics, King Fahad Specialist Hospital, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Liposarcoma is the commonest soft tissue sarcoma. The disease usually presents in the lower extremity in the deep soft tissues which usually resulted in large size at presentation. Soft tissue sarcomas which originate in an accessible site tend to present earlier with smaller size at presentation, however there are some reports of tumors that present with huge size at presentation in a site where they can be easily detected like the anterior chest wall.
Liposarcoma is the most common soft tissue sarcomas. The disease was first described by Rudolf Virchow in 1857 in a patient with a tumor of the thigh [1]. We present a case of a 37 -year old male patient who presented with a recurrent large chest wall soft tissue liposarcoma due to late presentation because of the COVID-19 pandemic and country lockdown. The disease was not metastatic at presentation and the pathology showed high grade dedifferentiated liposarcoma. Wide local resection was performed and defect was covered by Latissimus dorsi muscle flap.
Keywords: Recurrent, chest wall, dedifferentiation, soft tissue liposarcoma.