Oncologists of the Herzen Institute removed a giant liposarcoma

The operating team of the P.A. Herzen Moscow State Medical Research Institute, a branch of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of Russia under the leadership of Deputy Director General for Surgery Andrey Ryabov removed a myxoid liposarcoma weighing more than 20 kilograms.

A 72-year-old patient turned to the Institute with complaints about a giant neoplasm that was located in the thickness of the anterior abdominal wall. She could hardly move and practically stopped eating, as the tumor caused high intra-abdominal pressure and constant shortness of breath, which developed against the background of a massive tumor spread, squeezing the diaphragm.

In general, the disease made itself felt in November 2018. During the examination in one of the Moscow clinics, the patient was diagnosed with myxoid liposarcoma G3. This tumor belongs to the category of malignant tumors with an aggressive course and the ability to recur frequently. At the time of treatment at the Herzen Moscow State Medical Institute, the patient had already undergone several operations in 2018 and 2019 and 5 courses of chemotherapy, but, unfortunately, the tumor turned out to be insensitive to drug treatment.

During the surgical operation, oncologists of the P.A. Herzen Moscow State Medical Institute determined the size of the tumor: 50 x 70 x 60 cm. Liposarcoma grew into the muscles of the anterior abdominal wall, into the anterior chest wall with a diaphragm, into the stomach wall, and also involved loops of the small and large intestines in the pathological process. During the operation, she underwent the removal of a relapse of a tumor of the soft tissues of the anterior abdominal wall, extensive removal of the soft tissues of the abdomen, removal of 12 ribs on the left, partial resection of the stomach, removal of a fragment of the diaphragm dome and partial resection of the small and large intestine. As a result, the patient developed an extensive abdominal defect, which forced doctors to perform reconstructive plastic surgery using composite materials at the final stage of surgery. The operation lasted more than 7 hours and ended with a radical removal of the tumor.

Currently, the patient’s condition corresponds to the timing and volume of surgical treatment. We wish her a speedy recovery!

Press Service of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of Russia