Well-differentiated giant "lipoma-like" liposarcoma of the posterior mediastinum: a case report.

Massimiliano Paci, Salvatore De Franco, Alberto Cavazza, Valerio Annessi, Guglielmo Ferrari, Francesco Falco, Giorgio Sgarbi

Research output: Contribution to journalArticle

Abstract

While liposarcoma is the most common malignant mesenchymal neoplasm in adults, a mediastinal position is rare. We describe here the case of a 74-year-old female with an hourglass-shaped mass in the posterior mediastinum, which was probably present on a roentgenogram 4 years earlier. On a CT scan of the chest, the mass appeared non-homogeneous with a mainly adipose content. A preoperative ultrasonically guided tru-cut transthoracic biopsy revealed the presence of adipose tissue with mildly atypical cytological features. The mass was therefore completely excised by means of a right thoracotomy. The postoperative course was uneventful and the patient is alive and well and has had no recurrence in the 6 months since surgery. We review here the natural history, pathology, and prognosis of the disease, and discuss methods of diagnosis and management of such lesions.

Original languageEnglish
Pages (from-to)101-104
Number of pages4
JournalChirurgia Italiana
Volume55
Issue number1
Publication statusPublished - Jan 2003

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Liposarcoma
Lipoma
Mediastinum
Thoracotomy
Natural History
Adipose Tissue
Thorax
Pathology
Biopsy
Recurrence
Neoplasms

ASJC Scopus subject areas

  • Surgery

Cite this

Paci, M., De Franco, S., Cavazza, A., Annessi, V., Ferrari, G., Falco, F., & Sgarbi, G. (2003). Well-differentiated giant "lipoma-like" liposarcoma of the posterior mediastinum: a case report. Chirurgia Italiana, 55(1), 101-104.

Well-differentiated giant "lipoma-like" liposarcoma of the posterior mediastinum : a case report. / Paci, Massimiliano; De Franco, Salvatore; Cavazza, Alberto; Annessi, Valerio; Ferrari, Guglielmo; Falco, Francesco; Sgarbi, Giorgio.

In: Chirurgia Italiana, Vol. 55, No. 1, 01.2003, p. 101-104.

Research output: Contribution to journalArticle

Paci, M, De Franco, S, Cavazza, A, Annessi, V, Ferrari, G, Falco, F & Sgarbi, G 2003, 'Well-differentiated giant "lipoma-like" liposarcoma of the posterior mediastinum: a case report.', Chirurgia Italiana, vol. 55, no. 1, pp. 101-104.
Paci, Massimiliano ; De Franco, Salvatore ; Cavazza, Alberto ; Annessi, Valerio ; Ferrari, Guglielmo ; Falco, Francesco ; Sgarbi, Giorgio. / Well-differentiated giant "lipoma-like" liposarcoma of the posterior mediastinum : a case report. In: Chirurgia Italiana. 2003 ; Vol. 55, No. 1. pp. 101-104.
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