Primary pleural liposarcoma: a rare differential for an opaque hemithorax

BMJ Case Rep. 2022 Feb 25;15(2):e246683. doi: 10.1136/bcr-2021-246683.

Abstract

Primary pleural liposarcoma (PPL) is a rare primary malignant pleural tumour originating from primitive mesenchymal tissue. We report the case of a 25-year-old man with a 6-week history of shortness of breath, cough, chest pain and hoarseness of voice. Chest X-ray showed a left opacified hemithorax, and thoracic CT scan revealed a large, heterogeneous, hypodense mass in the left hemithorax. The patient was taken up for ultrasound-guided core biopsy of the mass lesion, and histopathological examination revealed the diagnosis as a pleomorphic variant of PPL. We highlight the importance of considering PPL as a differential diagnosis in cases of large hemithoracic masses.

Keywords: oncology; respiratory medicine.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Liposarcoma* / diagnostic imaging
  • Liposarcoma* / surgery
  • Male
  • Pleura / pathology
  • Pleural Neoplasms* / diagnostic imaging
  • Pleural Neoplasms* / pathology
  • Thorax / pathology
  • Tomography, X-Ray Computed