Liposarcoma presenting as an intraluminal ureteral mass

An 86-year-old woman with a previous excision of a large retroperitoneal low-grade liposarcoma presented with a 4-month history of persistent left flank discomfort. Workup revealed left hydronephrosis secondary to obstruction, which was caused by a recurrent liposarcoma in the intraluminal ureter. S...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2003-05, Vol.61 (5), p.1035-1035
Main Authors: Raj, Ganesh V, Madden, John F, Anderson, E.Everett
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Diagnosis, Differential
Fatal Outcome
Female
Humans
Hydronephrosis - diagnosis
Hydronephrosis - etiology
Hydronephrosis - surgery
Liposarcoma - diagnosis
Liposarcoma - surgery
Neoplasm Recurrence, Local - diagnosis
Neoplasm Recurrence, Local - surgery
Palliative Care - methods
Ureteral Neoplasms - complications
Ureteral Neoplasms - diagnosis
Ureteral Neoplasms - surgery
Ureteral Obstruction - complications
Ureteral Obstruction - diagnosis
Ureteral Obstruction - surgery
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Summary:An 86-year-old woman with a previous excision of a large retroperitoneal low-grade liposarcoma presented with a 4-month history of persistent left flank discomfort. Workup revealed left hydronephrosis secondary to obstruction, which was caused by a recurrent liposarcoma in the intraluminal ureter. She underwent a left nephroureterectomy for symptomatic palliation. Pathologic study revealed high-grade liposarcoma. Despite negative surgical margins, the tumor rapidly recurred, leading to death only 4 months after surgery. This case highlights the aggressive nature of liposarcoma.
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(02)02595-5