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LIPOSARCOME DE BAS GRADE ET PIEGE DIAGNOSTIC: A PROPOS DUN CAS

Authors: A. Chaoui, M. Nassiri;

LIPOSARCOME DE BAS GRADE ET PIEGE DIAGNOSTIC: A PROPOS DUN CAS

Abstract

Le liposarcome est lun des plus communs sarcomes des tissus mous, il represente pres dun quart des neoplasmes des parties molles. Cependant cest un cancer rare puisquil ne represente quenviron 10% de lensemble des cancers chez lhomme. Nous rapportons le cas dun jeun patient de 36 ans, presentant une masse de la face antero-externe de la cuisse gauche de consistance molle, douloureuse, mobile par rapport au plan superficiel, sans signes inflammatoires en regard, de 12cm du grand axe, evoluant depuis 2 mois dans un contexte de conservation de letat general. Le bilan biologique standard etait normal. La radiographie de la cuisse gauche na pas revelee danomalies osseuses ni de calcifications au niveau des parties molles. Ces caracteristiques evoquaient un lipome dont lexerese a ete programmee. Letude anatomopathologique et immunohistochimique de la piece operatoire ont objective un liposarcome peripherique bien differencie de bas grade appele aussi tumeur lipomateuse atypique (OMS 2013) (Grade 1 selon FNCLCC). Un bilan dextension a ete realise fait dune IRM de la cuisse gauche etait negatif. En accord avec le comite doncologie de notre CHU, une intervention de reprise dexerese a ete realisee elle a consiste en une excision de la cicatrice precedente puis, en bloc, de laponevrose et du tissu musculaire sur toute la hauteur du site initial de la tumeur en le debordant de deux centimetres environ. Une surveillance clinique locale et regionale post-operatoire du patient a 4,6 mois et un an plus trad na pas revelee danomalie.

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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