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Primary colonic liposarcoma presenting as intussusception: A case report from the kashmir valley


 Department of General and Minimal Access Surgery, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Yaqoob Hassan,
Department of General and Minimal Access Surgery, SKIMS Medical College, Srinagar, Jammu and Kashmir
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/hmj.hmj_76_21

Introduction: Soft tissue sarcoma (STS) arises from mesenchymal tissue and can occur at any anatomic site and age. These tumors can originate from skeletal muscle, adipose tissue, vascular tissues, or connective tissues. Liposarcoma (LPS) is the most frequent type of sarcoma and is most commonly found in the retroperitoneal region. Case report: We report a rare case of colonic liposarcoma in a young female patient presented with sub-acute intestinal obstruction due to intussusception. The patient didn't report any past significant surgical, medical or family history. To arrive at a definitive diagnosis, the patient was evaluated, and subjected to standard investigations. Exploratory laparotomy was performed, along with segmental colonic resection and primary anastomosis. The specimen's histopathology and immunohistochemistry revealed the morphology of high grade colonic LPS. The patient is doing well eight months after surgery and is being monitored on a regular basis. The patient in our case was only 17-years old, much younger than the average age of occurrence, and thus represents the first case report of primary colonic liposarcoma in this age group. Conclusion: The primary gastrointestinal liposarcoma tumors are uncommon and colonic variants are extremely rare, especially in the second decade of life, and limited to case reports which can be counted on fingertips. Surgical resection with negative margins is the only curative treatment.


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    -  Hassan Y
    -  Rather AA
    -  Akhtar Z
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