Primary pleural liposarcoma: a rare differential for an opaque hemithorax

Primary pleural liposarcoma (PPL) is a rare primary malignant pleural tumour originating from primitive mesenchymal tissue. We report the case of a 25-year-old man with a 6-week history of shortness of breath, cough, chest pain and hoarseness of voice. Chest X-ray showed a left opacified hemithorax,...

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Bibliographic Details
Published in:BMJ case reports 2022-02, Vol.15 (2), p.e246683
Main Authors: Layek, Avishek, Rajpoot, Akhlesh, Joshi, Prashant, Mishra, Mayank
Format: Article
Language:English
Subjects:
Adult
Case reports
Case Reports: Rare disease
Chemotherapy
Coronary vessels
Histopathology
Humans
Liposarcoma
Liposarcoma - diagnostic imaging
Liposarcoma - surgery
Literature reviews
Male
Medical imaging
Medical prognosis
Pleura - pathology
Pleural effusion
Pleural Neoplasms - diagnostic imaging
Pleural Neoplasms - pathology
Radiation therapy
Sarcoma
Thorax - pathology
Tomography
Tomography, X-Ray Computed
Tumors
Ultrasonic imaging
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Summary:Primary pleural liposarcoma (PPL) is a rare primary malignant pleural tumour originating from primitive mesenchymal tissue. We report the case of a 25-year-old man with a 6-week history of shortness of breath, cough, chest pain and hoarseness of voice. Chest X-ray showed a left opacified hemithorax, and thoracic CT scan revealed a large, heterogeneous, hypodense mass in the left hemithorax. The patient was taken up for ultrasound-guided core biopsy of the mass lesion, and histopathological examination revealed the diagnosis as a pleomorphic variant of PPL. We highlight the importance of considering PPL as a differential diagnosis in cases of large hemithoracic masses.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-246683