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Liposarcoma is one of the most common soft-tissue sarcomas in adults, with peak incidence between 40 and 60 years old [1-4]. MLS with round cell components have a tendency to metastasize to unusual sites including soft-tissue, retroperitoneum, mediastinum, chest wall, lymph node and so on [1]. It is well known that MRI is a highly sensitive method to detect abnormal bone marrow [1-6]. FDG-PET measures glucose uptake into the tumor itself. These characteristics allow PET to detect small volumes of disease before a secondary cortical bone reaction appears [1]. However, it is also well known that in low grade soft-tissue sarcomas, specificity and sensitivity are limited [3-5]. WBMRI including DWI has recently been widely used in the oncologic field for detecting metastatic lesions [7-12]. This case report is that of the multiple extrapulmonary metastases of MLS of the left thigh, which were detected by the WB-MRI including DWI. Also, DWI could evaluate the chemotherapeutic effect.

Multiple metastases from myxoid liposarcoma (MLS) for which Whole Body MRI (WB-MRI) was useful for their detection