Retroperitoneal Sarcoma - EChin

Retroperitoneal Sarcoma - EChin - Retroperitoneal Sarcoma...

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Retroperitoneal Sarcoma Edward Chin, M.D. February 20, 2003
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Case 68F with asymptomatic abdominal mass s/p lumpectomy/axillary dissection for breast cancer ’00 CT scan reveals large R retroperitoneal mass, R hydronephrosis Further studies (MRI/A, bone scan, chest CT)
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Hospital Course CT-guided biopsy --> spindle cell tumor
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OR 12/13/03: Retroperitoneal mass adherent to duodenum, R kidney, vena cava En bloc resection of mass with kidney, sleeve of duodenum, cava Biopsy tract excised
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Pathology High-grade spindle cell tumor Duodenal, kidney margins negative Caval margin?
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Spindle Cell Tumors GIST Sarcomas Liposarcoma Leiomyosarcoma Malignant peripheral nerve sheath tumor Melanoma Sarcomatoid carcinoma Fibrous tumor Fibromatosis Histopathology 2001; 38: 387-402
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Soft tissue sarcomas = 1% of solid tumors 15% retroperitoneal Presentation: New abdominal mass (80-90%) Neurologic deficit
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Retroperitoneal Sarcoma - EChin - Retroperitoneal Sarcoma...

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