A full diagnostic followup in a rare case of myxoid liposarcoma

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Presentation transcript:

A full diagnostic followup in a rare case of myxoid liposarcoma Vedran Markotić, Miro Miljko, Dorijan Radančević, Ines Perić, Ivana Djak Rezdeušek BCR, Sarajevo, October 16 th 2015. University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina

Clinical data 47 Y/O Gradually growing mass in the left gluteal region and uper back thigh Pain Difficulties while performing physical activities A history of trauma preceded symptoms

Ultrasound showed irregular, large hypoechoic lesion in the left gluteal region reaching uper back thigh, measuring up to 15 cm in diameter.

Initial MRI T 2 weighted image T 1 weighted image

Initial MRI (contrast series) T 1 weighted image +C T 1 weighted image +C

MDCT angiography

Liposarcoma has been suspected Surgical treatment followed PHD analysis confirmed a myxoid type of liposarcoma

MRI – five months after surgery T 2 weighted image T 1 weighted image

MRI – five months after surgery (contrast series) T 1 weighted images +C

A combined treatment of chemo and radiotherapy followed during the next four months (28 fractions of radiotherapy combined with Doxorubicin)

Followup MRI (after chemo/radiotherapy) T 1 weighted images T 2 weighted image

Followup MRI (contrast series) T 1 weighted image +C

Patient is feeling well and is able to perform physical activities as prior. Untill today, additional three followup MRI-s were performed and none showed relapse of primary tumor.

Thank you for your attention