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Retroperitoneal liposarcoma associated with small plaque parapsoriasis.

Tartaglia F, Blasi S, Sgueglia M, Polichetti P, Tromba L, Berni A - World J Surg Oncol (2007)

Bottom Line: Therefore surgical resection of the tumor was performed.Parallel disappearing of skin eruptions after surgery, typical clinical picture and not specific histology of the cutaneous lesions suggest the diagnosis of small plaque parapsoriasis.Therefore we propose to add Small Plaque Parapsoriasis to the list of paraneoplastic syndromes associated to liposarcoma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Sciences, La Sapienza University, viale Regina Elena 324, 00161 Rome, Italy. francesco.tartaglia@uniroma1.it

ABSTRACT

Background: Extremely rare cases of paraneoplastic syndromes or ectopic production of proteins associated with liposarcoma are reported in literature. Production of Granulocyte-Colony Stimulating Factor, alpha-fetoprotein, paraneoplastic pemphigus and leucocytosis, Acrokeratosis paraneoplastica (Bazex's syndrome) are reported. The present report describes a case of retroperitoneal liposarcoma associated with small plaque parapsoriasis. Our search in the English literature of such a kind of association did not reveal any case reported.

Case presentation: A 74 year male patient was admitted to our hospital because of the presence of an abdominal mass in right iliac fossa. He also complained of a two-year history of psoriasiform eruptions. The CT scan showed a retroperitoneal pelvic mass. Therefore surgical resection of the tumor was performed. After surgery, the skin eruptions disappeared completely in seven days and so a diagnosis of parapsoriasis syndrome was done.

Conclusion: Parallel disappearing of skin eruptions after surgery, typical clinical picture and not specific histology of the cutaneous lesions suggest the diagnosis of small plaque parapsoriasis. Therefore we propose to add Small Plaque Parapsoriasis to the list of paraneoplastic syndromes associated to liposarcoma.

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Contrast-enhanced CT scan. The exam showed the extraperitoneal pelvic tumor with a heterogeneous surface, necrotic and calcific areas. The cecum and the right colon are displaced forward and to the left side.
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Figure 2: Contrast-enhanced CT scan. The exam showed the extraperitoneal pelvic tumor with a heterogeneous surface, necrotic and calcific areas. The cecum and the right colon are displaced forward and to the left side.

Mentions: The total body computed tomography showed a solid and extraperitoneal pelvic mass of seven centimeters in diameter with a heterogeneous surface, necrotic and calcific areas and contrast enhancement. It displaced cecum forward and to the left side. It was also revealed a lower and adjacent mass of 2.5 centimeter in diameter with the same characteristics (Figure 2).


Retroperitoneal liposarcoma associated with small plaque parapsoriasis.

Tartaglia F, Blasi S, Sgueglia M, Polichetti P, Tromba L, Berni A - World J Surg Oncol (2007)

Contrast-enhanced CT scan. The exam showed the extraperitoneal pelvic tumor with a heterogeneous surface, necrotic and calcific areas. The cecum and the right colon are displaced forward and to the left side.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC1936423&req=5

Figure 2: Contrast-enhanced CT scan. The exam showed the extraperitoneal pelvic tumor with a heterogeneous surface, necrotic and calcific areas. The cecum and the right colon are displaced forward and to the left side.
Mentions: The total body computed tomography showed a solid and extraperitoneal pelvic mass of seven centimeters in diameter with a heterogeneous surface, necrotic and calcific areas and contrast enhancement. It displaced cecum forward and to the left side. It was also revealed a lower and adjacent mass of 2.5 centimeter in diameter with the same characteristics (Figure 2).

Bottom Line: Therefore surgical resection of the tumor was performed.Parallel disappearing of skin eruptions after surgery, typical clinical picture and not specific histology of the cutaneous lesions suggest the diagnosis of small plaque parapsoriasis.Therefore we propose to add Small Plaque Parapsoriasis to the list of paraneoplastic syndromes associated to liposarcoma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Sciences, La Sapienza University, viale Regina Elena 324, 00161 Rome, Italy. francesco.tartaglia@uniroma1.it

ABSTRACT

Background: Extremely rare cases of paraneoplastic syndromes or ectopic production of proteins associated with liposarcoma are reported in literature. Production of Granulocyte-Colony Stimulating Factor, alpha-fetoprotein, paraneoplastic pemphigus and leucocytosis, Acrokeratosis paraneoplastica (Bazex's syndrome) are reported. The present report describes a case of retroperitoneal liposarcoma associated with small plaque parapsoriasis. Our search in the English literature of such a kind of association did not reveal any case reported.

Case presentation: A 74 year male patient was admitted to our hospital because of the presence of an abdominal mass in right iliac fossa. He also complained of a two-year history of psoriasiform eruptions. The CT scan showed a retroperitoneal pelvic mass. Therefore surgical resection of the tumor was performed. After surgery, the skin eruptions disappeared completely in seven days and so a diagnosis of parapsoriasis syndrome was done.

Conclusion: Parallel disappearing of skin eruptions after surgery, typical clinical picture and not specific histology of the cutaneous lesions suggest the diagnosis of small plaque parapsoriasis. Therefore we propose to add Small Plaque Parapsoriasis to the list of paraneoplastic syndromes associated to liposarcoma.

Show MeSH
Related in: MedlinePlus