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Case Reports in Surgery
Volume 2013 (2013), Article ID 763702, 3 pages
http://dx.doi.org/10.1155/2013/763702
Case Report

Multifocal Retroperitoneal Sarcoma

2nd Department of Surgery, University Hospital “Aretaieion”, 115 28 Athens, Greece

Received 17 March 2013; Accepted 9 April 2013

Academic Editors: P. De Nardi, M. Picchio, and M. Zafrakas

Copyright © 2013 Theodosios Theodosopoulos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Retroperitoneal sarcomas comprise a small proportion of all soft tissue sarcomas, and multiple factors influence their clinical behavior. Histopathological type and grade as well as complete surgical resection especially on the first operative attempt are well recognized as the main prognostic factors. Multifocality is another prognostic factor, which compromises therapy and finally makes prognosis worse due to multiple adverse implications. Case Presentation. A rare case of a 65-year-old male patient suffering from a multifocal retroperitoneal liposarcoma successfully treated in our hospital is presented herein. Discussion. Also, general considerations for these tumors are discussed, and especially multifocality is underlined as an ominous sign of retroperitoneal sarcomas behavior. Despite multifocality, once again complete surgical excision remains the mainstay of treatment of these patients, as long as further systemic and local therapies do not provide durable results.