Primary Pleomorphic Liposarcoma of Fallopian Tube with Recurrence: A Case Report and Review of the Literature.

Lianwei Wang,Jinming Xu,Runlan Luo,Zumingxiong Zumingxiong,Dengyang Fang

doi:10.1515/med-2017-0071

Lianwei Wang, Jinming Xu + Show 3 more

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https://doi.org/10.1515/med-2017-0071

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Abstract

BackgroundLiposarcoma, which develops in adipose tissue, is one of the most common soft tissue sarcomas. It appears mostly in the lower limbs, particularly in the thigh and limb girdles, followed by the upper extremities, thoracoabdominal wall, and the internal trunk and retroperitoneum. Pleomorphic liposarcoma (PLS), a rare subtype of liposarcoma is considered a highgrade malignancy.Case presentationWe present a case of primary PLS in the left fallopian tube of a 47-year-old female. Ten months previously, she was diagnosed with PLS of the left fallopian tube in another hospital and had a wide excision of left fallopian tube mass, including total abdominal hysterectomy and bilateral salpingo-oophorectomy for left fallopian tube PLS. Presently, she has developed a recurrence and metastasis of PLS in the pelvic and abdominal cavities.ConclusionThis may be the first case of primary fallopian tube PLS, wherein the prognosis of this patient was poor due to the high-grade malignancy of PLS.

Highlights

This may be the first case of primary fallopian tube Pleomorphic liposarcoma (PLS), wherein the prognosis of this patient was poor due to the high-grade malignancy of PLS
She first visited a doctor at another hospital because of the discontinuous, dull pain in left lower abdomen, but without vaginal bleeding and fluids
The transabdominal ultrasound showed an 11.3 x 8.7 x 10.8 cm-sized mixed echogenic mass with irregular morphology in the front of the uterine body; there were a small number of blood flow signals. She had undergone wide excision of the left fallopian tube mass, including total abdominal hysterectomy and bilateral salpingo-oophorectomy for the left fallopian tube mass. She was diagnosed with PLS of the left fallopian tube at another hospital through histopathology of the surgical tissues

Summary

Introduction

Liposarcoma, which develops in adipose tissue, is one of the most common soft tissue sarcomas It appears mostly in the lower limbs, in the thigh and limb girdles, followed by the upper extremities, thoracoabdominal wall, and the internal trunk and retroperitoneum. We present a case of primary PLS in the left fallopian tube of a 47-year-old female Ten months previously, she was diagnosed with PLS of the left fallopian tube in another hospital and had a wide excision of left fallopian tube mass, including total abdominal hysterectomy and bilateral salpingo-oophorectomy for left fallopian tube PLS. She was diagnosed with PLS of the left fallopian tube in another hospital and had a wide excision of left fallopian tube mass, including total abdominal hysterectomy and bilateral salpingo-oophorectomy for left fallopian tube PLS She has developed a recurrence and metastasis of PLS in the pelvic and abdominal cavities. We report what is possibly the first case of PLS in the left fallopian tube in a 47-year-old woman

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