1. [Giant pelvic lipoma mimicking a liposarcoma].
- Author
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Dhouha B, Maroua W, Seifeddine B, Ghofrane T, Lassaad G, Rached B, and Rgaya M
- Subjects
- Diagnosis, Differential, Female, Humans, Lipoma pathology, Lipoma surgery, Magnetic Resonance Imaging, Middle Aged, Pelvic Neoplasms pathology, Pelvic Neoplasms surgery, Pelvic Pain etiology, Tomography, X-Ray Computed, Lipoma diagnosis, Liposarcoma diagnosis, Pelvic Neoplasms diagnosis
- Abstract
Giant lipoma (GL) is a rare ubiquitous tumor. Pelvic lipoma is rare with less than 10 cases reported in the literature. The main differential diagnosis is lipoma-like well differentiated liposarcoma. We report the case of a 50-year old female patient, with a 3-month history of pelvic discomfort, presenting with a mass in the left ischiorectal fossa. Abdominopelvic CT scan showed presacral hypodense homogeneous lipomatous mass measuring 10x18 cm. MRI showed hyperintense lesion on T1 and T2 -weighted images with fine partition walls reaching the 2
nd sacral vertebra. Total abdominoperineal resection was performed without rupture of tumor capsule. Anatomo-pathological examination confirmed the diagnosis of GL. This study aims to report a new case of giant presacral pelvic lipoma which extends into the left ischiorectal fossa., Competing Interests: Les auteurs ne déclarent aucun conflit d'intérêts.- Published
- 2019
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