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KMID : 0358420170600060598
Korean Journal of Obstetrics and Gynecology
2017 Volume.60 No. 6 p.598 ~ p.601
A retroperitoneal dedifferentiated liposarcoma mimicking an ovarian tumor
Kim Hyo-Jin

Jeong Tae-Won
Lee Yeong-Ho
Kim Gyeong-A
Hong Sang-Gi
Beck Su-Kyung
Mun Jeong-Beom
Kim Kyong-Jin
Ju Myeong-Jin
Abstract
A 74-year-old postmenopausal woman visited our gynecology clinic complaining of a palpable abdominal mass. Physical and radiological evaluation indicated that the mass exhibited features of a left ovarian neoplasm showing heterogeneous enhancement. Surgical resection was performed to confirm this suspicion. During surgery, a mass was observed only in the left ovary with no invasive growth, but adhesions to the surrounding peritoneum were seen. Given the patient's age, large mass size, and accompanying uterine myoma and right ovarian cyst, total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The final pathologic diagnosis was dedifferentiated liposarcoma. The liposarcoma was suspected to originate from retroperitoneal adipose tissue rather than the ovary. Radiotherapy was planned if a gross lesion indicating recurrence followed 6 months later. This case required a considerable multi-disciplinary approach for diagnosis and treatment because of its ambiguous clinical and radiological findings.
KEYWORD
Retroperitoneal neoplasms, Liposarcoma
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