Dedifferentiated liposarcoma of the retroperitoneum with osteosarcomatous component: report of two cases

Clin Imaging. 2009 Jan-Feb;33(1):70-4. doi: 10.1016/j.clinimag.2008.04.009.

Abstract

We describe two cases of ossified soft tissue tumors of the retroperitoneum. Computed tomographic and magnetic resonance imaging both revealed retroperitoneal masses consisting of two components -- densely ossified and lipid-rich components. In one case, a 50-year-old man, a histological diagnosis of dedifferentiated liposarcoma with osteosarcoma was made based on the needle biopsy of the two components. In another case, a 54-year-old man, surgical resection of the complex perirenal mass was performed and the same diagnosis was made. Although an ossified component represent high-grade lesion, the fatty component is an important clue to the diagnosis of dedifferentiated liposarcoma. The imaging features may be similar to those of malignant mesenchymoma, which is not a currently used term.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Liposarcoma / diagnostic imaging*
  • Male
  • Middle Aged
  • Neoplasms, Multiple Primary / diagnostic imaging*
  • Osteosarcoma / diagnostic imaging*
  • Retroperitoneal Neoplasms / diagnostic imaging*
  • Tomography, X-Ray Computed / methods*