Challenging retrovesical mass in men: report of a rare liposarcoma case with concurrent COVID-19 infection.
BMJ Case Rep
; 14(3)2021 Mar 02.
Article
in English
| MEDLINE | ID: covidwho-1115111
ABSTRACT
We describe a case of retrovesical liposarcoma in a male patient with concurrent COVID-19. A 50-year-old man had lower urinary tract symptoms and dull pain along his right gluteus. Due to COVID-19 infection, management was delayed. During self-isolation, the patient developed urinary retention and his pain level was an eight on the Visual Analogue Scale. A urinary catheter and an epidural catheter were inserted without any difficulty. Abdominal-pelvic MRI revealed a retrovesical mass suspected of liposarcoma with clear borders from surrounding organs. Following two consecutive negative SARS-CoV-2 PCR tests, we proceeded with surgery. Histopathology was dedifferentiated liposarcoma. Postoperatively, the patient suffered reactivation of COVID-19, and he was eventually discharged after two consecutive negative results on the PCR test on Post Operative Day (POD)-10. Retrovesical dedifferentiated liposarcoma is rare and considered as high-grade liposarcoma. Although surgery may exacerbate COVID-19 infection, surgical resection of symptomatic high-grade sarcoma is prioritised and performed as soon as no infection detected.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pelvic Neoplasms
/
Surgical Procedures, Operative
/
Urinary Retention
/
Lower Urinary Tract Symptoms
/
SARS-CoV-2
/
COVID-19
/
Liposarcoma
Type of study:
Case report
/
Diagnostic study
/
Prognostic study
Limits:
Humans
/
Male
/
Middle aged
Language:
English
Year:
2021
Document Type:
Article
Affiliation country:
Bcr-2020-241466
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