Richa Peter, Conomea James R, Mullins Cade, Soukieh M Rudwan, Narvel Ravish
School of Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Internal Medicine, Ascension St. Vincent's Riverside, Jacksonville, USA.
Cureus. 2025 Mar 3;17(3):e79965. doi: 10.7759/cureus.79965. eCollection 2025 Mar.
Retroperitoneal sarcomas are rare and challenging soft tissue tumors that can have an insidious presentation. These tumors may present asymptomatically or display vague symptoms such as nausea, abdominal pain, and constipation. Rapid detection and treatment of these tumors are necessary as they may metastasize or compress adjacent structures within the body. Imaging and biopsy play a critical role in diagnosing and managing retroperitoneal sarcomas, with treatment decisions largely influenced by the tumor's histological subtype. Due to the high recurrence rate of these tumors, adjuvant therapies and consistent monitoring are essential. This case report discusses the recurrence of a high-grade liposarcoma in a 73-year-old male patient status post retroperitoneal sarcoma resection. Despite initial successful surgical intervention, the patient's non-compliance with follow-up care led to a recurrence, highlighting the importance of long-term monitoring, adherence to post-surgical protocols, and multidisciplinary decision-making.
腹膜后肉瘤是罕见且具有挑战性的软组织肿瘤,其表现可能较为隐匿。这些肿瘤可能无症状,或表现出如恶心、腹痛和便秘等模糊症状。由于这些肿瘤可能发生转移或压迫体内相邻结构,因此快速检测和治疗至关重要。影像学检查和活检在腹膜后肉瘤的诊断和管理中起着关键作用,治疗决策很大程度上受肿瘤组织学亚型的影响。由于这些肿瘤的复发率很高,辅助治疗和持续监测至关重要。本病例报告讨论了一名73岁男性患者在腹膜后肉瘤切除术后发生的高级别脂肪肉瘤复发情况。尽管最初手术干预成功,但患者未遵守后续护理导致复发,凸显了长期监测、遵守术后方案和多学科决策的重要性。