Ann Surg Case Rep | Volume 4, Issue 1 | Case Report | Open Access

A Case Report on an Intraluminal Colonic Polypoid Myxoid Sarcoma

Dana M Omer1,2, Connor Thimjon2, David Palange3, Hongfa Zhu4 and Donald A McCain5*

1Department of Surgery, Hackensack University Medical Center, Hackensack, New Jersey, USA
2St.George’s University School of Medicine, St. George's, Grenada
3Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA
4Department of Pathology, Hackensack University Medical Center, Hackensack, New Jersey, USA
5Department of Surgery, Division of Surgical Oncology, Hackensack University Medical Center, New Jersey, USA

*Correspondance to: [email protected] 

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Abstract

Background: Liposarcomas (LPS) are aggressive soft tissue sarcomas which may demonstrate local and distant metastasis and often require a combination of neoadjuvant chemotherapy with surgical resection along with postoperative adjuvant chemotherapy. The disease is known for having a high recurrence rate and may present with symptoms specific to the involved system. Here, we present a patient who had an extremely rare presentation of recurrence within the colon. Case Presentation: The case reports on a 58-year-old gentleman who had presented with a local myxoid liposarcoma which was initially treated with neoadjuvant chemotherapy and local excision. The patient was then found to have a metastatic lesion in his lung, which was resected by an experienced group of thoracic surgeons. Unfortunately, the patient had again presented with abdominal pain and was found to have a metastatic lesion near obstruction of his right colon, indicating surgical resection. Conclusion: Liposarcomas rarely, if ever, present with metastasis to the colon. Treatment for such a presentation requires a multi-disciplinary approach involving both medical and surgical oncologists.

Keywords:

Intraluminal sarcoma; Myxoid sarcoma; Chemotherapy; Surgical oncology; Histology; Pathology

Citation:

Omer DM, Thimjon C, Palange D, Zhu H, McCain DA. A Case Report on an Intraluminal Colonic Polypoid Myxoid Sarcoma. Ann Surg Case Rep. 2021; 4(1): 1042..

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