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Delayed retroperitoneal liposarcoma diagnosis and management in a patient with massive obesity

European Journal of Clinical Nutrition volume 75, pages 1520–1522 (2021)Cite this article

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Abstract

People suffering from extreme obesity may be exposed to delayed diagnosis and treatment of cancer. A 37-year-old woman (weight = 245 kg, body mass index (BMI) = 79 kg/m2), presented a sepsis associated with nonspecific abdominal pain for 4 months. After several unsuccessful attempts due to her weight and a large waist circumference, abdominal CT scan was finally successfully performed and showed a large retroperitoneal mass. An ultrasound-guided core needle biopsy was performed and was in favor of a liposarcoma. Surgery was performed to remove the entire tumor of an estimated weight of 98 kg, a giant retroperitoneal dedifferentiated liposarcoma. This case highlights the difficulties to screen, diagnose, and manage cancers encountered in patients suffering from massive obesity.

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Fig. 1: Abdominal CT scan CT.
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Authors and Affiliations

  1. AP-HP-centre, Service de Nutrition, Centre Spécialisé Obésité, Hôpital européen Georges-Pompidou, Paris, France

    Claire Rives-Lange, Amel Ait Boudaoud, Charles Barsamian, Alina Radu, Jean-François Perregaux, Claire Carette & Sébastien Czernichow

  2. Université de Paris, Paris, France

    Claire Rives-Lange, Tigran Poghosyan, Charles Dariane, Richard Douard, Amel Ait Boudaoud, Frédérique Larousserie, Claire Carette & Sébastien Czernichow

  3. INSERM, UMR1153, Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), METHODS team, Paris, France

    Claire Rives-Lange & Sébastien Czernichow

  4. AP-HP-centre, Service de chirurgie digestive, Hôpital Européen Georges Pompidou, Paris, France

    Tigran Poghosyan & Richard Douard

  5. AP-HP-centre, Service d’urologie, Hôpital Européen Georges Pompidou, Paris, France

    Charles Dariane

  6. Service d’endocrinologie, Centre hospitalier régional d’Orléans, Orléans, France

    Elise Mongeois

  7. AP-HP-centre, Service d’anatomie pathologique, Hôpital Européen Georges Pompidou, Paris, France

    Christine Lagorce & Virginie Verkarre

  8. AP-HP-centre, Service de Pathologie, Hôpital Cochin, Paris, France

    Frédérique Larousserie

  9. AP-HP-Nord, service d’hepato-gastro-enterologie, Hôpital Beaujon, Clichy, France

    Fransisca Joly

Authors
  1. Claire Rives-Lange
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  11. Frédérique Larousserie
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  12. Jean-François Perregaux
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  13. Fransisca Joly
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  14. Claire Carette
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Correspondence to Claire Rives-Lange.

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Rives-Lange, C., Poghosyan, T., Dariane, C. et al. Delayed retroperitoneal liposarcoma diagnosis and management in a patient with massive obesity. Eur J Clin Nutr 75, 1520–1522 (2021). https://doi.org/10.1038/s41430-020-00855-5

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  • DOI: https://doi.org/10.1038/s41430-020-00855-5

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