[Retro-peritoneal liposarcoma. About 5 cases and revue of literature].
Liposarcomas are malignant mesenchymatous tumors developed from elements constituting the greasy tissue in various stages of differentiation. It is one of the most frequent mesenchymatous sarcomas. Retro-peritoneum is a privileged site of development in 12 to 15% of cases. During 9 years, from 1994 till 2002, we have colligated and operated 5 cases of retro-peritoneal liposarcomas. Average age was 50 years (extremes 34 to 79 years) with a sex-ratio of 1.5. Diagnosis was late beyond 6 months. Abdominal pain and the appearance of an enormous mass (20 cm) were the revealing signs. No imagery method allowed to evoke the diagnosis. The cyto-puncture realized once, was not able to determine with precision the histological type. Immunohistochimy occupies nowadays an important place to classify a sarcoma. Large surgical resection realized in 5 cases did not allowed the complete ablation of the tumour in 3 cases considering the advanced loco-regional extension, which was at the origin of 3 recurrences. Well differentiated histological type was noted in 3 cases, myxoid type in a case and not differentiated type in a case.
Beyrouti
Mohamed Issam
MI
Service de chirurgie générale, EPS Habib Bourguiba, Sfax.
Ben Amar
Mohamed
M
Beyrouti
Ramez
R
Gargouri
Faouzi
F
Khebir
Abdelmajid
A
Gharbi
Walid
W
Elleuch
Slim
S
Chaabouni
Mohamed
M
Tafech
Issam
I
Ghorbel
Ali
A
Sellami
Abdelhafidh
A
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008080:Liposarcoma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011860:Radiography, Abdominal; D012086:Reoperation; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D012187:Retroperitoneal Space / Q000473:pathology; D013997:Time Factors; D014057:Tomography, X-Ray Computed