A large calcified retroperitoneal mass in a patient with chronic renal failure: liposarcoma with ossification

Clin Exp Nephrol. 2010 Apr;14(2):185-9. doi: 10.1007/s10157-009-0239-6. Epub 2009 Oct 31.

Abstract

Here we describe a 65-year-old Japanese man with chronic renal failure (CRF) and a large, dense, calcified abdominal mass. The patient had a history of proteinuria, which was diagnosed as focal glomerulosclerosis. This diagnosis was confirmed by renal biopsy in 2002, with worsening renal function by July 2005 when a large area of calcification was detected on abdominal radiography, which further increased in size on follow-up radiography in December 2006. The calcified mass was surgically resected and histopathologically diagnosed as myxoid-type liposarcoma composed of dedifferentiated, myxoid, and well-differentiated components with areas of osseous metaplasia. Soft tissue calcifications and ossifications are often benign, but malignant tumors should be considered when the calcified mass is retroperitoneal, occurs in a patient with no history of chronic infection, and is not located near a large joint or associated with administration of calcium carbonate or a vitamin D derivative.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Calcinosis / diagnosis
  • Humans
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / diagnosis*
  • Liposarcoma, Myxoid / diagnosis*
  • Liposarcoma, Myxoid / pathology
  • Magnetic Resonance Imaging
  • Male
  • Ossification, Heterotopic / diagnosis*
  • Retroperitoneal Neoplasms / diagnosis*
  • Retroperitoneal Neoplasms / pathology
  • Soft Tissue Neoplasms / diagnosis
  • Tomography, X-Ray Computed