Open AccessA case report of a renal liposarcoma with penile metastases
Author(s) -
Benjamin Turner,
Sandeep Tiwari,
Malathi Gunaratne,
Maruti Kumaran
Publication year - 2017
Publication title -
international journal of diagnostic imaging
Language(s) - English
Resource type - Journals
eISSN - 2331-5865
pISSN - 2331-5857
DOI - 10.5430/ijdi.v4n2p62
Subject(s) - medicine , nephrectomy , liposarcoma , surgery , radiology , sternum , metastasis , kidney , sarcoma , pathology , cancer
A 73-year-old man presented to his general practitioner with a left sided abdominal mass, intermittent night sweats and left sided sciatic pain on movement. A computed tomography (CT) scan revealed a well encapsulated mass arising from the left kidney, measuring 180 mm × 150 mm. Following an open nephrectomy, the tumour was confirmed as being Trojani Grade II dedifferentiated liposarcoma. Repeat CTs at four months and one-year post-surgery were clear of metastases, but after 17 months the patient presented in the emergency department with severe right-sided flank pain. A CT scan showed evidence of metastatic recurrence in the lungs, sternum and right quadratus lumborum muscle. The patient was treated with palliative radiotherapy and a repeat CT taken to assess the rate of disease progression showed a new metastatic deposit within the right penile corpus cavernosum.