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Case of a huge recurrent retroperitoneal liposarcoma diagnosed in the second trimester of pregnancy
  1. Ryle Siegfrid O Li1,
  2. Sittie Aneza Camille A Maglangit1,
  3. Jemimah T Cartagena-Lim2 and
  4. Rodney B Dofitas1
  1. 1Division of Surgical Oncology, Head and Neck, Breast, Skin and Soft Tissue, and Esophagogastric Surgery, Department of Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
  2. 2Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
  1. Correspondence to Dr Sittie Aneza Camille A Maglangit; sacamaglangit.md{at}gmail.com

Abstract

We document a case of a 24-year-old gravida 2, para 1 (1001), on her second trimester, who was referred to the surgical oncology service for a palpable right hemiabdominal mass. She previously underwent wide excision of a retroperitoneal atypical lipomatous tumour 2 years ago. Her current case was successfully managed by a multidisciplinary team of doctors from the preoperative phase, the actual surgery up to the adjuvant treatment. She had a two-staged surgery: an elective lower-segment caesarean section at 34 weeks age of gestation for which she delivered a healthy baby girl and, 2 weeks after, she had excision of the huge retroperitoneal tumour recurrence. Histopathology revealed a 35 cm×25 cm×22 cm dedifferentiated liposarcoma, for which she was started on adjuvant systemic chemotherapy.

  • surgical oncology
  • pregnancy

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Footnotes

  • Contributors RL acquired the data and image and drafted and revised the manuscript. SACAM is the primary surgeon of the case, acquired the data and image and drafted and revised the manuscript. JTC-L is the primary obstetrician of the patient who performed the caesarean section and acquired the data and image. RBD assisted in the surgery, reviewed the manuscript and made the final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.