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Case Reports: Rare disease
Resection of previously inoperable retroperitoneal liposarcoma
  1. Ellen Maclean1,
  2. Luc Delriviere2,
  3. Mikael Johansson1 and
  4. Rupert Hodder1
  1. 1Department of General Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
  2. 2Department of Surgical Transplant, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
  1. Correspondence to Dr Ellen Maclean; ellen.maclean{at}health.wa.gov.au

Abstract

We present a case of successful resection of a large right upper quadrant retroperitoneal dedifferentiated liposarcoma involving multiple adjacent organs, initially considered inoperable in a patient in his 40s. This case highlights the importance of extensive preoperative planning and a multidisciplinary approach in achieving a greater chance of curative resection. Preoperative optimisation included neoadjuvant chemotherapy, concurrent portal vein embolisation and hepatic vein embolisation. The patient then underwent en-bloc resection, including total pancreatectomy, hemihepatectomy and vena caval resection in conjunction with extracorporeal membrane oxygenation and percutaneous venovenous bypass.

  • Cancer intervention
  • Pancreas and biliary tract
  • Oncology
  • Interventional radiology
  • Surgical oncology

https://doi.org/10.1136/bcr-2023-256479

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: all authors. The following authors gave final approval of the manuscript: all authors.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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