Challenging retrovesical mass in men: report of a rare liposarcoma case with concurrent COVID-19 infection.

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Tytuł:: Challenging retrovesical mass in men: report of a rare liposarcoma case with concurrent COVID-19 infection.
Autorzy:: Jamtani I; Department of Surgery, Fatmawati Central General Hospital, Jakarta Selatan, DKI Jakarta, Indonesia.
Nugroho A; Department of Surgery, Fatmawati Central General Hospital, Jakarta Selatan, DKI Jakarta, Indonesia .
Rahadiani N; Anatomical Pathology Department, Faculty of Medicine, Universitas Indonesia/Cipto Mangunkusumo National Referral Hostpital, Jakarta, Indonesia.
Manangka RSW; Radiology Department, Mayapada Hospital, DKI Jakarta, Indonesia.
Źródło:: BMJ case reports [BMJ Case Rep] 2021 Mar 02; Vol. 14 (3). Date of Electronic Publication: 2021 Mar 02.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Liposarcoma*/pathology
Liposarcoma*/physiopathology
Lower Urinary Tract Symptoms*/diagnosis
Lower Urinary Tract Symptoms*/etiology
Pelvic Neoplasms*/pathology
Pelvic Neoplasms*/physiopathology
Urinary Retention*/diagnosis
Urinary Retention*/etiology
COVID-19/*diagnosis
SARS-CoV-2/*isolation & purification
Surgical Procedures, Operative/*methods
COVID-19/therapy ; Chemoradiotherapy, Adjuvant/methods ; Dissection/methods ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Neoplasm Grading ; Time-to-Treatment ; Treatment Outcome
References:: BMJ Case Rep. 2017 Dec 2;2017:. (PMID: 29197849)
Asian J Endosc Surg. 2021 Jan 5;:. (PMID: 33401334)
Ann Intern Med. 2020 Jun 2;172(11):756-758. (PMID: 32219410)
J Infect. 2020 Nov;81(5):816-846. (PMID: 32619697)
J Urol. 1999 Apr;161(4):1244-8. (PMID: 10081878)
Urology. 1974 Feb;3(2):226-8. (PMID: 4812671)
Br J Urol. 1980 Apr;52(2):163. (PMID: 7426965)
EClinicalMedicine. 2020 Apr 05;21:100331. (PMID: 32292899)
Radiographics. 2017 Mar-Apr;37(2):462-483. (PMID: 28287938)
Ann Surg Oncol. 2020 Jun;27(6):1717-1720. (PMID: 32270420)
J Cancer Res Clin Oncol. 2019 Jan;145(1):181-192. (PMID: 30361927)
Cancer Res Treat. 2010 Mar;42(1):57-60. (PMID: 20369054)
Contributed Indexing:: Keywords: COVID-19; cancer intervention; pathology; radiology; surgery
Entry Date(s):: Date Created: 20210303 Date Completed: 20210310 Latest Revision: 20210320
Update Code:: 20240105
PubMed Central ID:: PMC7929813
DOI:: 10.1136/bcr-2020-241466
PMID:: 33653868
: Czasopismo naukowe

We describe a case of retrovesical liposarcoma in a male patient with concurrent COVID-19. A 50-year-old man had lower urinary tract symptoms and dull pain along his right gluteus. Due to COVID-19 infection, management was delayed. During self-isolation, the patient developed urinary retention and his pain level was an eight on the Visual Analogue Scale. A urinary catheter and an epidural catheter were inserted without any difficulty. Abdominal-pelvic MRI revealed a retrovesical mass suspected of liposarcoma with clear borders from surrounding organs. Following two consecutive negative SARS-CoV-2 PCR tests, we proceeded with surgery. Histopathology was dedifferentiated liposarcoma. Postoperatively, the patient suffered reactivation of COVID-19, and he was eventually discharged after two consecutive negative results on the PCR test on Post Operative Day (POD)-10. Retrovesical dedifferentiated liposarcoma is rare and considered as high-grade liposarcoma. Although surgery may exacerbate COVID-19 infection, surgical resection of symptomatic high-grade sarcoma is prioritised and performed as soon as no infection detected.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)

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