Laparoscopic resection of inguinal recurrence of myxoid liposarcoma

C Rodríguez-Otero Luppi, MD M Rodríguez Blanco, MD E Ballester Vázquez, MD V Artigas Raventós, MD

C Rodríguez-Otero Luppi, MD

M Rodríguez Blanco, MD

E Ballester Vázquez, MD

V Artigas Raventós, MD

Epublication WebSurg.com, May 2018;18(05). URL: http://websurg.com/doi/vd01en5254

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2018-05-21

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This is the case of a laparoscopic resection of inguinal recurrence of myxoid liposarcoma (MLS). In 2003, a 29-year-old man presented with a 23cm right thigh mass, compatible with soft tissue sarcoma. He underwent radical surgery and the final pathological examination confirmed a grade 1 myxoid liposarcoma. He received adjuvant radiotherapy (70 Gy). Follow-up demonstrated that the patient was disease-free until 2015. In September 2017, he presented to the emergency room with a lower right extremity edema. Radiological examination demonstrated the presence of an 8cm inguinal mass compatible with a late inguinal recurrence of known sarcoma. Neoadjuvant chemotherapy was indicated and elective surgery was performed in January 2018. CT-scan revealed a mass in the preperitoneal space, displacing the urinary bladder medially, involving right external iliac vessels and getting into the femoral canal distally. A laparoscopic approach was decided upon.