Myxoid liposarcoma - all lower left limb

Case contributed by Dr Bruno Di Muzio

Presentation

Soft tissue mass involving the subcutaneous tissue from the pelvis to the left foot.

Patient Data

Age: 48
Gender: Female

CT Abdomen and pelvis

Modality: CT

A large and extensive soft tissue mass occupying all subcutaneous tissue from lower back to left pelvis and proximal left thigh, with pelvic retroperitoneum and deep thigh fat planes extension. The mass is hypoattenuating and has a faint enhancement in some areas.  

Modality: MRI

Extensive infiltrative mass involving subcutaneous tissue from lower back and left lateral abdominal wall to proximal left thigh and along the left sciatic nerve involving also the pelvic retroperitoneum. There are local muscles and left iliac bone involvement. The mass has low T1 signal and focal areas of fat tissue and contrast enhancement delineating with collections (necrotic tissue).

The mass has also an extensive compromising of subcutaneous tissue and deep fat planes along all lower left limb, with some collections. 

Case Discussion

The patient has already a diagnosis of myxoid liposarcoma and had been submitted to two previous resection surgeries. She has been in clinical treatment with doxorubicin liposome for 8 months.

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Case Information

rID: 30485
Case created: 13th Aug 2014
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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