Khan Yasir, Iqbal Sara, Fatimi Saulat
Section of Cardiothoracic, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Asian Cardiovasc Thorac Ann. 2019 May;27(4):310-312. doi: 10.1177/0218492319834824. Epub 2019 Feb 26.
Pleomorphic liposarcoma is the rarest subtype of liposarcoma, with a high recurrence rate and poor prognosis. We present the case of young man with a rapidly growing large anterior chest wall liposarcoma that was excised, but he suffered 3 local recurrences in one year, showing the aggressive nature of the disease. If not completely resected with a tumor-free margin, the patient may have to endure multiple extensive surgeries in quick succession, increasing the chances of metastasis and a fatal outcome. Pleomorphic liposarcoma should be radically excised along with radiotherapy and strict follow-up of such patients.
多形性脂肪肉瘤是脂肪肉瘤中最罕见的亚型,复发率高且预后差。我们报告一例年轻男性病例,其前胸壁有一个快速生长的巨大脂肪肉瘤,已被切除,但他在一年内出现了3次局部复发,显示出该疾病的侵袭性。如果没有在无瘤边缘完整切除,患者可能不得不接连忍受多次广泛手术,增加转移和致命结局的几率。多形性脂肪肉瘤应连同放疗一起进行根治性切除,并对这类患者进行严格随访。