1. 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

2. 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

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

4. Initial MRI
T 2 weighted image
T 1 weighted image

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

6. MDCT angiography

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

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

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

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

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

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

13. 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.

14. Thank you for your attention