Emergency Surgery, GI and Pathology Department, St. Orsola University Hospital, Bologna, Italy.
Department of Surgical Sciences, La Sapienza University, Umberto I Hospital, Rome, Italy.
Dig Dis Sci. 2020 Jun;65(6):1643-1651. doi: 10.1007/s10620-020-06254-x.
Dedifferentiated liposarcomas are rare; localization of these tumors in the descending colon is extremely uncommon. We describe the case of a 75-year-old man with a dedifferentiated liposarcoma originating from the descending colon that manifested as partial bowel obstruction. The very uncommon presentation of this rare disease contributed to a challenging diagnostic process. The patient was successfully treated by surgical resection of the mass through left hemicolectomy. Although exceptionally unusual, soft tissue sarcomas should be considered in the differential diagnosis for bowel obstruction. Currently, radical resection of the mass is considered to be the first-line treatment.
去分化脂肪肉瘤较为罕见,起源于降结肠的此类肿瘤则更为罕见。我们报告了 1 例 75 岁男性,其降结肠来源的去分化脂肪肉瘤表现为部分肠梗阻。该罕见疾病的罕见表现导致诊断过程极具挑战性。患者通过左半结肠切除术成功切除肿块。尽管极为罕见,但在肠梗阻的鉴别诊断中仍应考虑软组织肉瘤。目前,肿块的根治性切除被认为是一线治疗方法。