Well-differentiated liposarcoma - thigh

Case contributed by Domenico Nicoletti , 12 May 2016
Diagnosis almost certain
Changed by Dylan Kurda, 12 May 2016

Updates to Case Attributes

Age changed from 71 to 70 years.
Body was changed:

The well-differentiated liposarcoma (WDLS) is the most common type of liposarcoma. WDLS present as a painless, slowly growing tumour, usually in the retroperitoneum or limbs. It consists of proliferation of mature adipocytes.

WDLS usually present between 50 and 60 years of age, with a male predilection. It manifests as a slow growing, painless mass, often in the retroperitoneum or the limbs and rarely in the spermatic cord and in the mediastinum.

The mass is usually solid. They may cause symptoms of urinary or bowel obstruction, if the lesion compresses adjacent organs.

The prognosis of WDLS depends on tumour location. WDLS arising from extremities usually has a good prognosis after removal of the tumour, with a low risk of recurrence and low mortality.

  • -<p>WDLS usually present between 50 and 60 years of age, with a male predilection. It manifests as a slow growing, painless mass, often in the retroperitoneum or the limbs and rarely in the spermatic cord and in the mediastinum.</p><p>The mass is usually solid. They may cause symptoms of urinary or bowel obstruction, if the lesion compresses adjacent organs.</p><p>The prognosis of WDLS depends on tumour location. WDLS arising from extremities usually has a good prognosis after removal of the tumour, with a low risk of recurrence and low mortality.</p>
  • +<p>The well-differentiated liposarcoma (WDLS) is the most common type of liposarcoma. WDLS present as a painless, slowly growing tumour, usually in the retroperitoneum or limbs. It consists of proliferation of mature adipocytes.</p><p>WDLS usually present between 50 and 60 years of age, with a male predilection. It manifests as a slow growing, painless mass, often in the retroperitoneum or the limbs and rarely in the spermatic cord and in the mediastinum.</p><p>The mass is usually solid. They may cause symptoms of urinary or bowel obstruction, if the lesion compresses adjacent organs.</p><p>The prognosis of WDLS depends on tumour location. WDLS arising from extremities usually has a good prognosis after removal of the tumour, with a low risk of recurrence and low mortality.</p>
Diagnostic Certainty was set to .

Updates to Study Attributes

Caption was added:
MRI following resection of the mass
Findings was changed:

MRI performed after removal of the lesion:

The well-differentiated liposarcoma (WDLS) is the most common typeNo definite evidence of liposarcoma. WDLS present as a painless, slowly growing tumour, usuallyenhancing mass can be seen in the retroperitoneum or limbssurgical bed. It consists of proliferation of mature adipocytes.

Updates to Study Attributes

Findings was changed:

MRI left thigh with and without MDCincluding post-contrast images. 

In the posterior compartment of the left thigh, there is a well circumscribed mass with a main adipose component with a central irregularly solid component. It displays contrast enhancement.

The neurovascular bundle and the bone are not infiltrated.

Surgical excision was performed.

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