Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis

Mediastinal liposarcoma are rare occurrences of liposarcomas, arising from mesenchymal fat cells. They have several histological subtypes including well-differentiated, dedifferentiated, myxoid and pleomorphic. They often present with nonspecific symptoms of mass effect on nearby structures. Surgica...

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Main Authors: Charles K. Crawford, BS, Hajra Arshad, MD, Elliot K. Fishman, MD
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325002444
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author Charles K. Crawford, BS
Hajra Arshad, MD
Elliot K. Fishman, MD
author_facet Charles K. Crawford, BS
Hajra Arshad, MD
Elliot K. Fishman, MD
author_sort Charles K. Crawford, BS
collection DOAJ
description Mediastinal liposarcoma are rare occurrences of liposarcomas, arising from mesenchymal fat cells. They have several histological subtypes including well-differentiated, dedifferentiated, myxoid and pleomorphic. They often present with nonspecific symptoms of mass effect on nearby structures. Surgical resection is the mainstay of treatment, but high recurrence rate remains a challenge. We present the case of a 70-year-old male with a large dedifferentiated anterior mediastinal liposarcoma presenting with compressive symptoms. Coordinated efforts from radiology, histopathology and surgical teams are required for timely and accurate diagnosis and an optimized course of treatment.
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spelling doaj-art-e3b265c33bfc456d92ece0044d5af68f2025-08-20T03:03:38ZengElsevierRadiology Case Reports1930-04332025-06-012063076308010.1016/j.radcr.2025.03.035Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosisCharles K. Crawford, BS0Hajra Arshad, MD1Elliot K. Fishman, MD2Corresponding author.; Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USAMediastinal liposarcoma are rare occurrences of liposarcomas, arising from mesenchymal fat cells. They have several histological subtypes including well-differentiated, dedifferentiated, myxoid and pleomorphic. They often present with nonspecific symptoms of mass effect on nearby structures. Surgical resection is the mainstay of treatment, but high recurrence rate remains a challenge. We present the case of a 70-year-old male with a large dedifferentiated anterior mediastinal liposarcoma presenting with compressive symptoms. Coordinated efforts from radiology, histopathology and surgical teams are required for timely and accurate diagnosis and an optimized course of treatment.http://www.sciencedirect.com/science/article/pii/S1930043325002444Dedifferentiated liposarcomaMediastinumComputed tomography (CT)
spellingShingle Charles K. Crawford, BS
Hajra Arshad, MD
Elliot K. Fishman, MD
Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis
Radiology Case Reports
Dedifferentiated liposarcoma
Mediastinum
Computed tomography (CT)
title Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis
title_full Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis
title_fullStr Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis
title_full_unstemmed Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis
title_short Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis
title_sort dedifferentiated liposarcoma of the anterior mediastinum an uncommon case presentation and complex diagnosis
topic Dedifferentiated liposarcoma
Mediastinum
Computed tomography (CT)
url http://www.sciencedirect.com/science/article/pii/S1930043325002444
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