Liposarcoma of the spine

Case contributed by Dr J. Ray Ballinger

Presentation

Mid-scapular pain.

Patient Data

Age: 75 years
Gender: Male
Modality: MRI

The T1-weighted, sagittal image shows dark signal in the area of a large mass in the upper thoracic spinal canal. The T1-weighted, fat suppressed sagittal and axial images with gadolinium enhancement shows a heterogenous, diffusely enhancing mass involving the thoracic spinal canal. The spinal canal and cord are compressed and displaced anteriorly.

Case Discussion

Liposarcoma is the most common soft tissue sarcoma with a peak incidence in the 5th decade. It usually involves the thigh, lower leg, retroperitoneum, or buttock. Metastases are uncommon with well differentiated tumors but occur more frequently with pleomorphic and round cell types. Lungs and viscera are the most common sites for metastases.

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Case Information

rID: 26189
Case created: 5th Dec 2013
Last edited: 18th Sep 2015
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Inclusion in quiz mode: Included

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