Giant, rapid-growing lipoma of Retzius space

In the 57-year old, healthy postmenopausal female, an asymptomatic suprapubic mass was an accidental finding on a regular gynecologic ultrasound (US). In 50 days, three transabdominal US and computed tomography (CT) scans showed a rapid increase in mass size (from 5.6 x 1.1 cm to 11 x 6 cm to 12.5 x...

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Autores principales:	Goran Augustin, Lucija Brkić, Zlatko Marušić
Formato:	article
Lenguaje:	EN HR
Publicado:	Hrvatski liječnički zbor 2021
Materias:	lipoma – diagnostic imaging pathology surgery; pelvic neoplasms – diagnostic imaging Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/98546a44f96e4b63809f8cf8cfae25b4
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spelling	oai:doaj.org-article:98546a44f96e4b63809f8cf8cfae25b42021-12-03T07:21:50ZGiant, rapid-growing lipoma of Retzius space10.26800/LV-143-3-4-30024-34771849-2177https://doaj.org/article/98546a44f96e4b63809f8cf8cfae25b42021-04-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/gigantski-brzorastuci-lipom-retziusovog-prostora/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177In the 57-year old, healthy postmenopausal female, an asymptomatic suprapubic mass was an accidental finding on a regular gynecologic ultrasound (US). In 50 days, three transabdominal US and computed tomography (CT) scans showed a rapid increase in mass size (from 5.6 x 1.1 cm to 11 x 6 cm to 12.5 x 7 cm on the US, 19 x 11 cm on CT). Previous medical history noted thrombocytopenia (1 x 109/L) and an intrauterine device (IUD) with the hormonal release. The carcinoembryonic (CEA) marker was slightly elevated (4.1 IU/L). Abdominal CT with intravenous contrast revealed encapsulated mass with the intensity of fatty tissue without discernible primary origin. No signs of infiltration and invasion of surrounding structures were found. CT differential diagnosis included lipoma and low-grade liposarcoma. After exploratory laparotomy and complete extirpation of the tumor (24 x 19 x 7 cm) from the Retzius space, the histopathology confirmed a lipoma with negative estrogen and progesterone receptors. The postoperative course was uneventful, and one year after surgery, US and magnetic resonance (MR) imaging did not show recurrence.Goran AugustinLucija BrkićZlatko MarušićHrvatski liječnički zborarticlelipoma – diagnostic imagingpathologysurgery; pelvic neoplasms – diagnostic imagingMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 3-4, Pp 95-97 (2021)
institution	DOAJ
collection	DOAJ
language	EN HR
topic	lipoma – diagnostic imaging pathology surgery; pelvic neoplasms – diagnostic imaging Medicine (General) R5-920
spellingShingle	lipoma – diagnostic imaging pathology surgery; pelvic neoplasms – diagnostic imaging Medicine (General) R5-920 Goran Augustin Lucija Brkić Zlatko Marušić Giant, rapid-growing lipoma of Retzius space
description	In the 57-year old, healthy postmenopausal female, an asymptomatic suprapubic mass was an accidental finding on a regular gynecologic ultrasound (US). In 50 days, three transabdominal US and computed tomography (CT) scans showed a rapid increase in mass size (from 5.6 x 1.1 cm to 11 x 6 cm to 12.5 x 7 cm on the US, 19 x 11 cm on CT). Previous medical history noted thrombocytopenia (1 x 109/L) and an intrauterine device (IUD) with the hormonal release. The carcinoembryonic (CEA) marker was slightly elevated (4.1 IU/L). Abdominal CT with intravenous contrast revealed encapsulated mass with the intensity of fatty tissue without discernible primary origin. No signs of infiltration and invasion of surrounding structures were found. CT differential diagnosis included lipoma and low-grade liposarcoma. After exploratory laparotomy and complete extirpation of the tumor (24 x 19 x 7 cm) from the Retzius space, the histopathology confirmed a lipoma with negative estrogen and progesterone receptors. The postoperative course was uneventful, and one year after surgery, US and magnetic resonance (MR) imaging did not show recurrence.
format	article
author	Goran Augustin Lucija Brkić Zlatko Marušić
author_facet	Goran Augustin Lucija Brkić Zlatko Marušić
author_sort	Goran Augustin
title	Giant, rapid-growing lipoma of Retzius space
title_short	Giant, rapid-growing lipoma of Retzius space
title_full	Giant, rapid-growing lipoma of Retzius space
title_fullStr	Giant, rapid-growing lipoma of Retzius space
title_full_unstemmed	Giant, rapid-growing lipoma of Retzius space
title_sort	giant, rapid-growing lipoma of retzius space
publisher	Hrvatski liječnički zbor
publishDate	2021
url	https://doaj.org/article/98546a44f96e4b63809f8cf8cfae25b4
work_keys_str_mv	AT goranaugustin giantrapidgrowinglipomaofretziusspace AT lucijabrkic giantrapidgrowinglipomaofretziusspace AT zlatkomarusic giantrapidgrowinglipomaofretziusspace
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Giant, rapid-growing lipoma of Retzius space

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