Intraduodenal sarcoma recurrence of retroperitoneal origin: an unusual cause for a duodenal obstruction

World Journal of Surgical Oncology

Roderich E Schwarz¹  Gene E Ewing³  Amanda Kirane¹  Robert D Timmerman²  John C Mansour¹  Jean J Bao¹ 

[1] Department of Surgery, Division of Surgical Oncology, UT Southwestern Medical Center, Dallas, TX, USA;Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, USA;Department of Pathology, UT Southwestern Medical Center, Dallas, TX, USA

关键词: retroperitoneal sarcoma;    radiation treatment;    Intraduodenal sarcoma;   

Others  :  827883
DOI  :  10.1186/1477-7819-10-59

 received in 2011-08-25, accepted in 2012-04-20,  发布年份 2012

【 摘 要 】

Soft tissue sarcomas are uncommon tumors, and intraduodenal soft tissue sarcoma manifestation is even more rare. Only three cases of intraduodenal sarcomas have been reported in the literature thus far. Here, we report a case of an intraduodenal recurrence of a retroperitoneal sarcoma causing bowel obstruction. This unusual recurrence pattern likely relates to the patient’s previous resection and radiation treatment, and highlights the benefits, limitations and follow-up strategies after multimodality treatment.

【 授权许可】

   
2012 Bao et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Jemal A, Siegel R, Xu J, Ward E: Cancer statistics, 2010. CA Cancer J Clin 2010, 60:277-300.
• [2]Clark MA, Fisher C, Judson I: Soft-tissue sarcomas in adults. N Engl J Med 2005, 353:701-711.
• [3]Tsang A, Nash JR, Fordham MV, Hartley MN, Poston GJ: The management of retroperitoneal sarcoma with synchronous intra-duodenal sarcoma. Eur J Surg Oncol 2003, 29:515-518.
• [4]Metzelder M, Hansen O, Ramp U: Duodenal diverticulum – an unusual manifestation of recurrent retroperitoneal liposarcoma. Chirurg 2000, 71:331-333.
• [5]Wolfhagen FH, Mensing JW, Veen HF, Dees A: Late recurrence of liposarcoma simulating adenoma of the duodenum. Neth J Med 1999, 54:231-234.
• [6]Gronchi A, Casali PG, Fiore M, Mariani L, Lo Vullo S, Bertulli R, Colecchia M, Lozza L, Olmi P, Santinami M, Rosai J: Retroperitoneal soft tissue sarcomas: patterns of recurrence in 167 patients treated at a single institution. Cancer 2004, 100:2448-2455.
• [7]Pitson G, Robinson P, Wilke D, Kandel RA, White L, Griffin AM, Bell RS, Catton CN, Wunder JS, O'Sullivan B: Radiation response: an additional unique signature of myxoid liposarcoma. Int J Radiat Oncol Biol Phys 2004, 60:522-526.
• [8]Windham TC, Pisters PW: Retroperitoneal sarcomas. Cancer Control 2005, 12:36-43.