Late recurrence of liposarcoma simulating adenoma of the duodenum.
A large pedunculated, polypoid mass in the duodenum of a patient with asymptomatic anaemia, with mucosal biopsies indicating a villous adenoma, turned out to be a liposarcoma during laparotomy. The patient had had a completely resected retroperitoneal liposarcoma 8 years before. Liposarcoma recurrence should be highly suspected even in case of atypical presentation and long disease free interval.
Department of Internal Medicine, Ikazia Hospital, Rotterdam, The Netherlands. wolfhagen@inw2.azr.nl
F H
FH
Wolfhagen
J W
JW
Mensing
H F
HF
Veen
A
A
Dees
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery; D018253:Adenoma, Villous / Q000175:diagnosis*; D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004379:Duodenal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D004386:Duodenum / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D008080:Liposarcoma / Q000175:diagnosis* / Q000601:surgery; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000601:surgery; D012186:Retroperitoneal Neoplasms / Q000601:surgery