Case Report
Copyright ©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Aug 14, 2007; 13(30): 4154-4155
Published online Aug 14, 2007. doi: 10.3748/wjg.v13.i30.4154
Liposarcoma of the stomach: A rare case report
Konstantinos Tepetes, Gregory Christodoulidis, Michael E Spyridakis, Maria Nakou, George Koukoulis, Konstantinos Hatzitheofilou
Konstantinos Tepetes, Gregory Christodoulidis, Michael E Spyridakis, George Koukoulis, Konstantinos Hatzitheofilou, General Surgery Department, University Hospital of Larissa, Larissa, Greece
Maria Nakou, George Koukoulis, Pathology Department, University Hospital of Larissa, Larissa, Greece
Author contributions: All authors contributed equally to the work.
Correspondence to: Konstantinos Tepetes, Assistant Professor, General Surgery Department, University Hospital of Larissa, Athinas street, 241220 Larissa, Greece. ktepetes@yahoo.co.uk
Telephone: +30-24-10682729
Received: April 6, 2007
Revised: April 13, 2007
Accepted: April 26, 2007
Published online: August 14, 2007
Abstract

Liposarcoma is the most common soft tissue sarcoma and accounts for 15%-20% of all mesenchymal malignancies. The tumor occurs most frequently in the limbs, retroperitoneum and rarely has a visceral location. We report a case of a gastric liposarcoma in a male patient. A 68 years old male patient was admitted to hospital for abdominal discomfort and fullness lasting for a month. He reported rare episodes of vomiting. The CT examination revealed a large epigastric mass (8 cm x 4 cm) involving the lesser curvature of the stomach, in contact with the pancreas and gallbladder. Fatty areas within the mass were evident. A total gastrectomy together with cholecystectomy was performed. The histopathological diagnosis was a well differentiated liposarcoma. The patient did not undergo any adjuvant treatment, he is under close follow up and two years later he is disease free. We report this case due to the rarity of this tumor in the stomach (nine cases reported in the literature).

Keywords: Gastric liposarcoma; Lipoblasts; CT diagnosis; Total gastrectomy; Well-differentiated type