Complex Care of a Rare Tumor, Metastatic Liposarcoma: A Multi-Disciplinary Approach
AAPA ePoster library. DeLucia K. 05/17/17; 180550; 228
Katie DeLucia
Katie DeLucia
Login now to access Regular content available to all registered users.
Abstract
Rate & Comment (0)
The care of the cancer patient is an ever evolving field that often requires a collaborative approach between surgeons, medical oncologists, and radiation oncologists. The treatment of soft-tissue sarcomas is complicated by their rarity. Sarcomas account for < 1% of all newly diagnosed adult cancers2. To compound matters, the wide-ranging name of 'sarcoma' involves a variety of more than 50 histologic subtypes2. Thus, for the last 25+ years, a multidisciplinary treatment approach has been instituted for patients diagnosed with extremity sarcomas. This has allowed for successful improvements in survival and quality of life2. This patient case report exemplifies the utility of that approach. A 57-year-old male reported an 8-year long history of a 'lump' involving the left gluteal region. Over time, the 'lump' insidiously grew in size. The patient's primary care provider ordered a CT scan of the abdomen & pelvis, which identified a heterogeneous appearing mass centered in the left gluteus maximus muscle, measuring 10.8 x 6.9 x 12.1 cm. He denied significant gluteal pain, lower extremity pain, lower extremity weakness or deficits. Current medical illnesses included hypertension and migraine headaches. He reports being a never smoker, but does report social alcohol consumption. A paternal grandfather died from complications of pharyngeal carcinoma, but otherwise, there is no significant oncologic family history. On examination, a 15 cm mobile, soft, non-tender mass is located at the inferior aspect of the left gluteal region. Sensation was intact. Full active range of motion of the left lower extremity was appreciated. A percutaneous image guided core biopsy of the mass established myxoid liposarcoma. Pre-treatment MRI of the pelvis confirmed a 13.3 cm myxoid liposarcoma of the left gluteal musculature with no neurovascular involvement. Pre-treatment CT scan imaging of the chest, abdomen and pelvis revealed multi-focal peritoneal implants. Chemotherapy was recommended. Under the care of medical oncology, the patient was treated with 8 cycles of Adriamycin and ifosfamide. Treatment response was noted, in both the primary tumor and peritoneal implants. Then, under the care of surgical oncology, metastasectomy was performed to include resection of 3 separate discrete peritoneal metastatic deposits. Postoperative pathology confirmed extensive treatment effect of the metastatic myxoid liposarcoma peritoneal tumor nodules (less than 5% of tumor cells were vi...
The care of the cancer patient is an ever evolving field that often requires a collaborative approach between surgeons, medical oncologists, and radiation oncologists. The treatment of soft-tissue sarcomas is complicated by their rarity. Sarcomas account for < 1% of all newly diagnosed adult cancers2. To compound matters, the wide-ranging name of 'sarcoma' involves a variety of more than 50 histologic subtypes2. Thus, for the last 25+ years, a multidisciplinary treatment approach has been instituted for patients diagnosed with extremity sarcomas. This has allowed for successful improvements in survival and quality of life2. This patient case report exemplifies the utility of that approach. A 57-year-old male reported an 8-year long history of a 'lump' involving the left gluteal region. Over time, the 'lump' insidiously grew in size. The patient's primary care provider ordered a CT scan of the abdomen & pelvis, which identified a heterogeneous appearing mass centered in the left gluteus maximus muscle, measuring 10.8 x 6.9 x 12.1 cm. He denied significant gluteal pain, lower extremity pain, lower extremity weakness or deficits. Current medical illnesses included hypertension and migraine headaches. He reports being a never smoker, but does report social alcohol consumption. A paternal grandfather died from complications of pharyngeal carcinoma, but otherwise, there is no significant oncologic family history. On examination, a 15 cm mobile, soft, non-tender mass is located at the inferior aspect of the left gluteal region. Sensation was intact. Full active range of motion of the left lower extremity was appreciated. A percutaneous image guided core biopsy of the mass established myxoid liposarcoma. Pre-treatment MRI of the pelvis confirmed a 13.3 cm myxoid liposarcoma of the left gluteal musculature with no neurovascular involvement. Pre-treatment CT scan imaging of the chest, abdomen and pelvis revealed multi-focal peritoneal implants. Chemotherapy was recommended. Under the care of medical oncology, the patient was treated with 8 cycles of Adriamycin and ifosfamide. Treatment response was noted, in both the primary tumor and peritoneal implants. Then, under the care of surgical oncology, metastasectomy was performed to include resection of 3 separate discrete peritoneal metastatic deposits. Postoperative pathology confirmed extensive treatment effect of the metastatic myxoid liposarcoma peritoneal tumor nodules (less than 5% of tumor cells were vi...
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings