Dedifferentiated Liposarcoma of the Descending Colon: A Case Report and Review of the Literature

Dig Dis Sci. 2020 Jun;65(6):1643-1651. doi: 10.1007/s10620-020-06254-x.

Abstract

Dedifferentiated liposarcomas are rare; localization of these tumors in the descending colon is extremely uncommon. We describe the case of a 75-year-old man with a dedifferentiated liposarcoma originating from the descending colon that manifested as partial bowel obstruction. The very uncommon presentation of this rare disease contributed to a challenging diagnostic process. The patient was successfully treated by surgical resection of the mass through left hemicolectomy. Although exceptionally unusual, soft tissue sarcomas should be considered in the differential diagnosis for bowel obstruction. Currently, radical resection of the mass is considered to be the first-line treatment.

Keywords: Bowel obstruction; Dedifferentiated liposarcoma; Primary colonic tumor.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Colonic Neoplasms / diagnosis*
  • Colonic Neoplasms / pathology
  • Colonic Neoplasms / surgery
  • Humans
  • Liposarcoma / diagnosis*
  • Liposarcoma / pathology
  • Liposarcoma / surgery
  • Male