Delayed retroperitoneal liposarcoma diagnosis and management in a patient with massive obesity
Autor: | Jean-François Perregaux, Charles Barsamian, Claire Carette, Charles Dariane, Elise Mongeois, Fransisca Joly, Tigran Poghosyan, Richard Douard, Virginie Verkarre, Frédérique Larousserie, Christine Lagorce, Claire Rives-Lange, Amel Ait Boudaoud, Sébastien Czernichow, Alina Radu |
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Rok vydání: | 2021 |
Předmět: |
0301 basic medicine
Abdominal pain medicine.medical_specialty 030109 nutrition & dietetics Nutrition and Dietetics Waist medicine.diagnostic_test business.industry Medicine (miscellaneous) Cancer 030209 endocrinology & metabolism Liposarcoma medicine.disease Obesity Sepsis 03 medical and health sciences 0302 clinical medicine Biopsy medicine Radiology medicine.symptom business Body mass index |
Zdroj: | European Journal of Clinical Nutrition. 75:1520-1522 |
ISSN: | 1476-5640 0954-3007 |
Popis: | People suffering from extreme obesity may be exposed to delayed diagnosis and treatment of cancer. A 37-year-old woman (weight = 245 kg, body mass index (BMI) = 79 kg/m2), presented a sepsis associated with nonspecific abdominal pain for 4 months. After several unsuccessful attempts due to her weight and a large waist circumference, abdominal CT scan was finally successfully performed and showed a large retroperitoneal mass. An ultrasound-guided core needle biopsy was performed and was in favor of a liposarcoma. Surgery was performed to remove the entire tumor of an estimated weight of 98 kg, a giant retroperitoneal dedifferentiated liposarcoma. This case highlights the difficulties to screen, diagnose, and manage cancers encountered in patients suffering from massive obesity. |
Databáze: | OpenAIRE |
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