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©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Nov 7, 2012; 18(41): 5979-5981
Published online Nov 7, 2012. doi: 10.3748/wjg.v18.i41.5979
Published online Nov 7, 2012. doi: 10.3748/wjg.v18.i41.5979
Dedifferentiated liposarcoma of the rectum: A case report
Atsushi Tsuruta, Taebum Park, Tadashi Itoh, Department of Surgery, Kurashiki Central Hospital, Okayama 710-8602, Japan
Kenji Notohara, Department of Pathology, Kurashiki Central Hospital, Okayama 710-8602, Japan
Author contributions: Tsuruta A, Park T and Itoh T performed the operation; Notohara K revealed histopathological findings; Tsuruta A examined the patient as the doctor in charge; Tsuruta A wrote the paper.
Correspondence to: Atsushi Tsuruta, MD, PhD, Department of Surgery, Kurashiki Central Hospital, 1-1-1 Miwa Kurashiki, Okayama 710-8602, Japan. atsuatsu@apost.plala.or.jp
Telephone: +81-86-4220210 Fax: +81-86-4213424
Received: May 29, 2012
Revised: July 31, 2012
Accepted: August 3, 2012
Published online: November 7, 2012
Revised: July 31, 2012
Accepted: August 3, 2012
Published online: November 7, 2012
Abstract
Liposarcoma is one of the most common soft tissue sarcomas found in adults, and it usually occurs in the retroperitoneum and the extremities. Here, we describe a case of dedifferentiated liposarcoma originating from a well-differentiated liposarcoma of the mesorectum that presented as a protruding mass in the rectal lumen. Hartmann’s operation with total mesorectal excision was performed and the tumor was removed radically. No management guidelines are currently available for liposarcoma of the rectum. We propose that complete surgical resection be required for the treatment of rectal liposarcoma and that a long-term detailed follow up is necessary.
Keywords: Dedifferentiated liposarcoma; Soft tissue sarcoma; Rectum; Management; Surgery