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Painful Abdominal Mass with Undetected Growth in a 46-years-Old Man

Author

Listed:
  • Bárbara L Sotelo
  • Fernando Oliva
  • Juan José Domínguez
  • José Manuel Vilches
  • José Antonio Andrés

    (Department of Orthopaedic Surgery and Traumatology, Puerta del Mar University Hospital, Spain)

Abstract

Malignant fibrous histiocytoma (MFH) is a soft-tissue sarcoma characterized by a high rate of metastases or recurrence. The treatment of retroperitoneal sarcomas are challenging because of its rarity and frequent presentation with advance disease in an anatomically complex location. We report a case in a 46-years-old-man who presented left lower abdominal pain with a palpable mass in the left flank. A computed tomography (CT) scan demonstrated a large, well-circumscribed mass in the left iliopso as compartment extending to the root of thigh and to left femoral head. A primary surgical approach was decided and we report here the radical retroperitoneal tumor surgery with resection of the psoas major muscle. Tumor excision was performed in a piece with negative margins. The patient received postoperative radiotherapy and has been followed for three years and is free of recurrence. We review this tumor in the retroperitoneum, and discuss its diagnosis, pathogenesis, and treatment.

Suggested Citation

  • Bárbara L Sotelo & Fernando Oliva & Juan José Domínguez & José Manuel Vilches & José Antonio Andrés, 2016. "Painful Abdominal Mass with Undetected Growth in a 46-years-Old Man," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 3(4), pages 89-92, November.
    • Handle: RePEc:adp:joroaj:v:3:y:2016:i:4:p:89-92
    DOI: 10.19080/OROAJ.2016.03.555623
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