PMC3198665_01
A-MRI of lower abdomen axial section & B-coronal section showing retroperitoneal mass extending to gluteal region through ileum. C-Marking for skin incision. D-Mass after excision.
AJNS-5-91-g001.jpg
PMC3198665_01_AJNS-5-91-g001.jpg
F1
MRI revealed left sided retroperitoneal tumour extending to the left gluteal region through the ileum (Figure-1A&B). An S-shaped incision starting from tip of 12th rib curving over the middle of iliac crest extended over the gluteal region and ended just above the greater trochanter (Figure-1C). The retroperitoneal portion was well capsulated (Figure-1D) but gluteal portion invaded into the muscle irregularly, inferiorly it was on close proximity of the left acetabulum but did not break the articular cartilage.
Microphotograph of operative specimen (Myospherulosis)
AJNS-5-91-g002.jpg
PMC3198665_01_AJNS-5-91-g002.jpg
F2
Histopathology of operative specimen reported as myospherulosis (Figure-2).
Post operative MRI of lower abdomen axial section A& B-coronal section,C&D axial section.
AJNS-5-91-g003.jpg
PMC3198665_01_AJNS-5-91-g003.jpg
F3
Post operative MRI six months after operation showed no residual or recurrent tumor (Figure-3).