A Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report
Retroperitoneal sarcomas are rare entities. They have a tendency of growing slowly, rendering the patient apparently healthy for long periods of time, before diagnosis. Besides, they have a worse prognosis than sarcomas arising in extremities, with a higher local recurrence rate and lower 5-year sur...
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2021
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oai:doaj.org-article:df728fc5466345f89cde23e2b11c69292021-12-02T12:40:23ZA Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report1662-657510.1159/000520381https://doaj.org/article/df728fc5466345f89cde23e2b11c69292021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520381https://doaj.org/toc/1662-6575Retroperitoneal sarcomas are rare entities. They have a tendency of growing slowly, rendering the patient apparently healthy for long periods of time, before diagnosis. Besides, they have a worse prognosis than sarcomas arising in extremities, with a higher local recurrence rate and lower 5-year survival rate. We describe a case of a 71-year-old male patient, who had a very well succeeded treatment of a large retroperitoneal sarcoma with the combination of chemoembolization, systemic chemotherapy, surgery, and radiation therapy. Initially, it was noticed in an incidental way he had a large retroperitoneal mass (15 cm × 10 cm × 9.2 cm) through magnetic resonance, when he was 63. The case was considered inoperable by the treating physicians. After neoadjuvant therapy, the residual tumor could be completely excised by the responsible surgeon. With a follow-up of >5 years, since the end of treatment, the patient remains in complete remission and, probably, cured from his illness. Large retroperitoneal sarcomas are still a great challenge for oncologists. According to the medical literature, chemoembolization can benefit some patients, but most of them in a palliative setting. In our report, we believe its contribution was critical for a great outcome. In selected cases, it is possible this procedure may be an additional therapeutic modality, as part of a multidisciplinary approach.Waldec Jorge David FilhoAngel Ayumi Tome UchiyamaCatarina MarchonLetícia Maria Duarte LopesAna Luísa de Castro BaccarinBruna de FinaRicardo Virgílio dos SantosFrancisco Leonardo GalastriKarger Publishersarticlechemoembolization retroperitoneal sarcomaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCase Reports in Oncology, Vol 14, Iss 3, Pp 1691-1697 (2021) |
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chemoembolization retroperitoneal sarcoma Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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chemoembolization retroperitoneal sarcoma Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Waldec Jorge David Filho Angel Ayumi Tome Uchiyama Catarina Marchon Letícia Maria Duarte Lopes Ana Luísa de Castro Baccarin Bruna de Fina Ricardo Virgílio dos Santos Francisco Leonardo Galastri A Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report |
description |
Retroperitoneal sarcomas are rare entities. They have a tendency of growing slowly, rendering the patient apparently healthy for long periods of time, before diagnosis. Besides, they have a worse prognosis than sarcomas arising in extremities, with a higher local recurrence rate and lower 5-year survival rate. We describe a case of a 71-year-old male patient, who had a very well succeeded treatment of a large retroperitoneal sarcoma with the combination of chemoembolization, systemic chemotherapy, surgery, and radiation therapy. Initially, it was noticed in an incidental way he had a large retroperitoneal mass (15 cm × 10 cm × 9.2 cm) through magnetic resonance, when he was 63. The case was considered inoperable by the treating physicians. After neoadjuvant therapy, the residual tumor could be completely excised by the responsible surgeon. With a follow-up of >5 years, since the end of treatment, the patient remains in complete remission and, probably, cured from his illness. Large retroperitoneal sarcomas are still a great challenge for oncologists. According to the medical literature, chemoembolization can benefit some patients, but most of them in a palliative setting. In our report, we believe its contribution was critical for a great outcome. In selected cases, it is possible this procedure may be an additional therapeutic modality, as part of a multidisciplinary approach. |
format |
article |
author |
Waldec Jorge David Filho Angel Ayumi Tome Uchiyama Catarina Marchon Letícia Maria Duarte Lopes Ana Luísa de Castro Baccarin Bruna de Fina Ricardo Virgílio dos Santos Francisco Leonardo Galastri |
author_facet |
Waldec Jorge David Filho Angel Ayumi Tome Uchiyama Catarina Marchon Letícia Maria Duarte Lopes Ana Luísa de Castro Baccarin Bruna de Fina Ricardo Virgílio dos Santos Francisco Leonardo Galastri |
author_sort |
Waldec Jorge David Filho |
title |
A Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report |
title_short |
A Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report |
title_full |
A Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report |
title_fullStr |
A Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report |
title_full_unstemmed |
A Successful Chemoembolization of a Retroperitoneal Soft Tissue Sarcoma: A Case Report |
title_sort |
successful chemoembolization of a retroperitoneal soft tissue sarcoma: a case report |
publisher |
Karger Publishers |
publishDate |
2021 |
url |
https://doaj.org/article/df728fc5466345f89cde23e2b11c6929 |
work_keys_str_mv |
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