Giant gastric lipossarcoma: case report and review of the literature

Liposarcoma is one of the most common soft tissue sarcomas in adults, occurring in 15 to 20% of all patients with sarcoma. Primary liposarcoma of the stomach is rare. We report a case of patient with giant gastric liposarcoma who underwent surgery after a gastrointestinal bleeding. Preoperative hyst...

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Bibliographic Details
Published in:Einstein (São Paulo, Brazil) Brazil), 2016-10, Vol.14 (4), p.557-560
Main Authors: Matone, Jacques, Okazaki, Samuel, Maccapani, Gabriel Naman, Amancio, Thiago Trolez, Filippi, Renée Zon, Macedo, Antonio Luiz de Vasconcellos
Format: Article
Language:eng ; por
Subjects:
Aged
Biopsy
Biópsia
Case Report
Diagnosis, Differential
Gastrectomia
Gastrointestinal Neoplasms
Gastrointestinal Stromal Tumors
Humans
Liposarcoma - diagnostic imaging
Liposarcoma - pathology
Liposarcoma - surgery
Lipossarcoma/cirurgia
Lipossarcoma/diagnóstico
Male
MEDICINE, GENERAL & INTERNAL
Neoplasias gástricas/diagnóstico
Relatos de casos
Stomach Neoplasms - diagnostic imaging
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
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Summary:Liposarcoma is one of the most common soft tissue sarcomas in adults, occurring in 15 to 20% of all patients with sarcoma. Primary liposarcoma of the stomach is rare. We report a case of patient with giant gastric liposarcoma who underwent surgery after a gastrointestinal bleeding. Preoperative hystopathological diagnosis was not established, even after three biopsy attempts. We discuss differential diagnosis, genetic causes, diagnosis strategies and treatment. RESUMO O lipossarcoma é um tipo comum de sarcomas em adultos, com incidência entre 15 e 20% entre os sarcomas. No entanto, o acometimento do estômago é raro. Relatamos um caso de um lipossarcoma primário gástrico gigante com apresentação clínica de hemorragia digestiva. Foi submetido a tratamento cirúrgico sem diagnóstico definitivo, apesar de três biópsias realizadas. Revisamos diagnósticos diferenciais, influência genética e estratégias diagnósticas e terapêuticas.
ISSN:1679-4508
2317-6385
2317-6385
1679-4508
DOI:10.1590/S1679-45082016RC3770