A 71-year-old male with a 37-cm abdominal tumor
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A 71-year-old male with a 37-cm abdominal tumor

Jiping Wang

Division of Surgical Oncology, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

Correspondence to: Jiping Wang. Department of Surgery, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02445, USA. Email: jwang39@bwh.harvard.edu.

Received: 14 November 2017; Accepted: 19 November 2017; Published: 21 December 2017.

doi: 10.21037/aos.2017.11.05

Case presentation

This is a 71-year-old male noted increased difficulty breathing over the last 3 months especially when laying on his back. Over the last few weeks, patient also experienced difficulty in moving his bowels, urinary urgency and increased frequency. He also noted tingling in his legs bilaterally. CT scan showed a 37-cm predominantly fatty density mass within the abdomen and pelvis probably arising from the retroperitoneum on the left as well as multiple soft tissue masses and is concerning for a liposarcoma (Figures 1,2).

Figure 1 (A) coronal view (B) cross sectional view of the large abdominal mass.
Figure 2 Retroperitoneal liposarcoma (1). Available online: http://aos.amegroups.com/post/view/2017121102




Conflicts of Interest: The author has no conflicts of interest to declare.

Informed Consent: Written informed consent was obtained from the patient for publication of this manuscript and any accompanying images.


  1. Wang J. Retroperitoneal liposarcoma. Art Surg 2017;1:v005. Available online: http://aos.amegroups.com/post/view/2017121102
doi: 10.21037/aos.2017.11.05
Cite this article as: Wang J. A 71-year-old male with a 37-cm abdominal tumor. Art Surg 2017;1:10.

What is the treatment plan (single best answer):

A. Chemotherapy followed by surgery;

B. Radiation followed by surgery;

C. Surgery followed by adjuvant chemotherapy;

D. Surgery followed by adjuvant radiation;

E. Surgery followed by surveillance.

Please chose one best answer before continue.

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