PMID- 29394626 OWN - NLM STAT- MEDLINE DCOM- 20180507 LR - 20180507 IS - 0385-0684 (Print) IS - 0385-0684 (Linking) VI - 44 IP - 12 DP - 2017 Nov TI - [A Case of Retroperitoneal Liposarcoma That Invaded and Filled the Jejunal Lumen]. PG - 1338-1340 AB - A jejunal tumor was found with computed tomography in a 79-year-old man with a history of gastrectomy reconstructed with Billroth II method for gastric ulcers. The tumor with contrast effect extended into the afferent loop and invaded the retroperitoneum in the dorsal side. The tumor occupied the jejunal lumen in endoscopic examination. Malignant spindle cells were found in the biopsy specimen. An increase of MDM2 and CDK4 signals were observed in fluorescence in situ hybridization( FISH). Given the preoperative diagnosis of jejunal liposarcoma, we performed a resection of the tumor with partial jejunectomy and partial gastrectomy. In the pathological examination of the surgical specimen, the majority of the tumor was dedifferentiated sarcoma; relatively highly differentiated sarcoma cells were observed in the retroperitoneal lesion. Therefore, it was suspected that the retroperitoneal-derived liposarcoma had invaded the jejunal lumen. FAU - Kohno, Tatsuhiko AU - Kohno T AD - Dept. of Gastroenterological Surgery, Kanazawa University. FAU - Oyama, Katsunobu AU - Oyama K FAU - Terai, Shiro AU - Terai S FAU - Okamoto, Koichi AU - Okamoto K FAU - Nakanuma, Shinichi AU - Nakanuma S FAU - Kinoshita, Jun AU - Kinoshita J FAU - Makino, Isamu AU - Makino I FAU - Nakamura, Keishi AU - Nakamura K FAU - Hayashi, Hironori AU - Hayashi H FAU - Miyashita, Tomoharu AU - Miyashita T FAU - Tajima, Hidehiro AU - Tajima H FAU - Takamura, Hiroyuki AU - Takamura H FAU - Ninomiya, Itasu AU - Ninomiya I FAU - Fushida, Sachio AU - Fushida S FAU - Ohta, Tetsuo AU - Ohta T LA - jpn PT - Case Reports PT - Journal Article PL - Japan TA - Gan To Kagaku Ryoho JT - Gan to kagaku ryoho. Cancer & chemotherapy JID - 7810034 RN - Retroperitoneal liposarcoma SB - IM MH - Aged MH - Biopsy MH - Humans MH - Jejunal Neoplasms/diagnostic imaging/*secondary/surgery MH - Liposarcoma/diagnostic imaging/*pathology/secondary MH - Male MH - Neoplasm Invasiveness MH - Retroperitoneal Neoplasms/diagnostic imaging/*pathology/secondary MH - Treatment Outcome EDAT- 2018/02/06 06:00 MHDA- 2018/05/08 06:00 CRDT- 2018/02/04 06:00 PHST- 2018/02/04 06:00 [entrez] PHST- 2018/02/06 06:00 [pubmed] PHST- 2018/05/08 06:00 [medline] PST - ppublish SO - Gan To Kagaku Ryoho. 2017 Nov;44(12):1338-1340.