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KMID : 0383819910380010065
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Tuberculosis and Respiratory Diseases
1991 Volume.38 No. 1 p.65 ~ p.69
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The Primary Mediastinal Liposarcoma with Effusion
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원구태/Koo Tae Won
박진현/홍욱균/이재갑/용석중/신계철/진소영/정순희/Jin Hyun Park/Wook Kyun Hong/Jae Gab Lee/Suck Joong Yong/Kye Chul Shin/So Young Jin/Soon Hee Jung
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Abstract
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Primary liposarcoma of the mediastinum is a very rare and relatively slow growing
tumor. Since the original description by Pallase and Roubier in 1916, there have been
about 55 reported cases in world literature until 1985.
Recently, we experienced one case of a primary mediastinal liposarcoma with
malignant effusion.
A 51-year-old man complained of dyspnea and chest discomfort. The chest plain films
and computerized tomogram showed a huge mass of the posterior mediastinal space.
The needle aspiration biopsy was done in the huge mass and the histologic examination
revealed mediastinal round-cell type liposarcoma. Patient refused surgery or
chemotherapy. after establishing the diagnosis. About 6 months later, the metastatic
pleural effusion was noted. After discharge, he was lost to follow up since then.
The clinical and therapeutic features of the previously reported cases of primary
liposarcoma arising in the mediastinum have been reviewed.
Surgery may served to establish a tissue diagnosis, to relieved the patient's symptoms
and result occasionally in a cure but radiotherapy or chemotherapy is ineffective.
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