Abstract
A 69-year-old man, visited a hospital because of abdominal distention and was pointed out having a giant abdominal tumor in August 2004, was referred to our hospital for further examination and treatment. Abdominal CT and MRI disclosed a giant tumor locating mainly in the vicinity of the omental bursa which had heterogeneous trabecular structure in the center and compressed the surrounding abdominal organs. We performed an operation to remove the tumor, which disclosed that the tumor extended from the subphrenic space to pelvic cavity and compressed the stomach, spleen and liver in the upper abdomen and did the transverse colon and transverse mesocolon in the lower abdomen. The tumor was firmly adhesive to the lesser curvature of the stomach where was thus considered to be the origin. The removed tumor was 10.2 kg in weight and showed a variety of appearances like fat, jelly, and necrosis. The histopathological diagnosis was well differentiated liposarcoma.
This paper deals with this case of a giant abdominal liposarcoma weighing over 10 kg, together with some bibliographical comments.