PMC9097944_01
(A, B) Abdominal image before the first operation. (C) Intraoperative photos. (D) Surgical piece of the dedifferentiated liposarcoma.
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Abdominal CT scans showed a huge lump around the left kidney, considering malignant tumors (Figures 1A, B). During the operation, the kidney could not be stripped, and it is suspected that the sarcoma has invaded the kidney (Figure 1C). The surgeon decided to perform combined organ resection and removed the left kidney and left adrenal gland (Figure 1D).
(A, B) Abdominal image before the second operation.
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Abdominal CT showed a round, slightly low-density foci in the upper left abdominal cavity with enlarged adjacent lymph nodes(Figures 2A, B).
(A, B) Abdominal image before the third operation.
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One and a half years later, the patient's imaging examination revealed that the tumor had recurred again (Figures 3A, B).
(A, B) Abdominal image before the fourth operation.
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After 3 months, abdominal CT showed multiple masses of soft tissue density shadow in the abdominal cavity, and the lesions were significantly larger than before (Figures 4A, B).
(A, B) Abdominal image before the fifth operation.
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Multiple space-occupying lesions in the abdominal cavity, considering the possibility of malignant tumor recurrence and metastasis (Figures 5A, B).
(A, B) Abdominal image before the sixth operation. (C) Date chart of operation.
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There is a space-occupying lesion in the abdominal wall incision, which indicates the possibility of tumor metastasis (Figures 6A, B). The patient passed away in September 2019 due to systemic organ failure caused by cachexia (Figure 6C).