Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2016 Vol. 24 No 5

CASE REPORTS

DOI: https://dx.doi.org/10.18484/2305-0047.2016.5.513   |  

E.P. KULIKOV1, Y.D. KAMINSKY1,2, I.I. VINOGRADOV2, M. Y. HOLCHEV2, S.V. KLEVTSOVA1

POSSIBILITIES OF SURGICAL TREATMENT OF RECURRENT RETROPERITONEAL LIPOSARCOMAS

SPEE HPE "Ryazan State Medical University named after academician I.P. Pavlov"1
SBE "Ryazan Regional Clinical Oncologic Center"2,
Ryazan.
The Russian Federation

The case report of the recurrent retroperitoneal liposarcoma is presented as well as the tactics of management patients with this pathology by the example of a certain clinical situation.The peculiarity of the clinical example of the presented patient is a long anamnesis of liposarcoma with the multiple recurrent course. At the time of admission to Ryazan Regional Clinical Oncology Center, the patient had the fifth recurrence of liposarcoma. During the period from 2009 to 2015 the patient underwent five operations on the primary tumor and its recurrences and 11 courses of chemotherapy. In July, 2015 the patient underwent the 6th operation to remove the recurrent tumors of the retroperitoneal space and the course of adjuvant intraperitoneal chemotherapy with cisplatin. The patient was discharged from the hospital to be dynamically observed. The next control examination (10 months later) showed no signs of disease recurrence according to clinical and ultrasound criteria.
There is no consensus regarding management of patients with recurrent retroperitoneal non-organic tumors and they classified as the patients for whom today clearly defined treatment has not been established. However, the surgery remains the most successful treatment method of patients with recurrent retroperitoneal tumors and the presented clinical example demonstrates that the complete surgical resection is the only potential curative treatment modality (with maximal degree of cytoreduction).

Keywords: the extra-organ retroperitoneal tumors, retroperitoneal liposarcoma, recurrence, surgical treatment, ultrasound, chemotherapy, cytoreduction.
p. 513-518 of the original issue
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Address for correspondence:
390046, Russian Federation, Ryazan, Sport st., 13,
Ryazan Regional Clinical Oncology Center,
Department of Oncology with a course of radiation diagnosis FADE.
Tel: (4912) 44-88-25
E-mail: klevcovasveta1@rambler.ru
Klevtsova Svetlana Vladimirovna
Information about the authors:
Kulikov E.P. MD, Professor, Honored physician of RF, Head of department of oncology with the course of radiation diagnostics FADE., SPEE HPE
"Ryazan State Medical University named after academician I.P. Pavlov".
Kaminsky Y.D. PhD, Ass. Professor of department of oncology with the course of radiation diagnostics FADE, SPEE HPE "Ryazan State Medical University named after academician I.P. Pavlov".
Vinogradov I.I. PhD, Assistant of department of pathologic anatomy with the course of forensic medicine, SPEE HPE "Ryazan State Medical University named after academician I.P. Pavlov", pathologist of SBE "Ryazan Regional Clinical Oncologic Center".
Holchev M.Y. Physician of X-ray unit, SBE "Ryazan Regional Clinical Oncologic Center".
Klevtsova S.V. Intern, SPEE HPE "Ryazan State Medical University named after academician I.P. Pavlov", department of oncology with the course of radiation diagnostics FADE.
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