PMID- 35317136 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220324 IS - 2307-8960 (Print) IS - 2307-8960 (Electronic) IS - 2307-8960 (Linking) VI - 10 IP - 6 DP - 2022 Feb 26 TI - Primary duodenal dedifferentiated liposarcoma: A case report and literature review. PG - 2007-2014 LID - 10.12998/wjcc.v10.i6.2007 [doi] AB - BACKGROUND: Dedifferentiated liposarcoma (DDLPS) is an extremely rare neoplasm that exhibits various morphologies. The tumor is characterized by immunoreactivity to MDM2 and CDK4 and can be confirmed by detecting MDM2 amplification via fluorescence in situ hybridization (FISH). Herein, we report an unusual case of DDLPS arising from the duodenum. CASE SUMMARY: A 64-year-old man presented with repeated abdominal pain and weight loss. Radiologic studies revealed a mass of the duodenum involving the pancreas. The patient was treated with pylorus-preserving pancreaticoduodenectomy. Histologically, the tumor showed a high-grade sarcoma. Immunohistochemistry demonstrated that the tumor cells were positive for MDM2 and CDK4 expression. MDM2 amplification was detected via FISH, leading to the final diagnosis of DDLPS. Following surgery, the patient was treated in the intensive care unit due to peritonitis, and died 60 d after surgery. CONCLUSION: To the best of the authors' knowledge, this is the first case of primary duodenal DDLPS in Korea and the third case in the English-language literature. Care must be taken not to misdiagnose DDLPS as another high-grade tumor. Liposarcoma should be in the differential diagnosis list. CI - (c)The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Kim, Nah Ihm AU - Kim NI AD - Department of Pathology, Chonnam National University Hospital, Gwangju 61469, South Korea. FAU - Lee, Ji Shin AU - Lee JS AD - Department of Pathology, Chonnam National University Hwasun Hospital, Hwasun 58128, South Korea. FAU - Choi, Chan AU - Choi C AD - Department of Pathology, Chonnam National University Hwasun Hospital, Hwasun 58128, South Korea. FAU - Nam, Jong Hee AU - Nam JH AD - Department of Pathology, Chonnam National University Hospital, Gwangju 61469, South Korea. FAU - Choi, Yoo Duk AU - Choi YD AD - Department of Pathology, Chonnam National University Hospital, Gwangju 61469, South Korea. FAU - Kim, Hee Joon AU - Kim HJ AD - Department of Surgery, Chonnam National University Hospital, Gwangju 61469, South Korea. FAU - Kim, Sung Sun AU - Kim SS AD - Department of Pathology, Chonnam National University Hospital, Gwangju 61469, South Korea. succeedsoon@hanmail.net. LA - eng PT - Case Reports PL - United States TA - World J Clin Cases JT - World journal of clinical cases JID - 101618806 PMC - PMC8891777 OTO - NOTNLM OT - Case report OT - Duodenum OT - Immunohistochemistry OT - Liposarcoma OT - Primary OT - Small bowel COIS- Conflict-of-interest statement: The authors declare that they have no conflict of interest. EDAT- 2022/03/24 06:00 MHDA- 2022/03/24 06:01 PMCR- 2022/02/26 CRDT- 2022/03/23 05:08 PHST- 2021/09/01 00:00 [received] PHST- 2021/10/27 00:00 [revised] PHST- 2022/01/11 00:00 [accepted] PHST- 2022/03/23 05:08 [entrez] PHST- 2022/03/24 06:00 [pubmed] PHST- 2022/03/24 06:01 [medline] PHST- 2022/02/26 00:00 [pmc-release] AID - 10.12998/wjcc.v10.i6.2007 [doi] PST - ppublish SO - World J Clin Cases. 2022 Feb 26;10(6):2007-2014. doi: 10.12998/wjcc.v10.i6.2007.