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2026, Number 4

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Acta Med 2026; 24 (4)

Retroperitoneal fibrosarcoma, uncommon diagnosis

Funes RJF, Tinoco TL, Funes CME, Funes CFP
Full text How to cite this article 10.35366/123511

DOI

DOI: 10.35366/123511
URL: https://dx.doi.org/10.35366/123511

Language: Spanish
References: 5
Page: 446-448
PDF size: 2145.58 Kb.


Key words:

retroperitoneal sarcoma, sarcoma, soft-tissue tumor, radiation therapy, systemic therapy.

ABSTRACT

Introduction: soft-tissue sarcomas are exceedingly rare, accounting for < 1% of all adult malignancies. Sarcomatous tumors are located within the retroperitoneum in < 10% of cases. Case report: 51-year-old male, with no history, with a three-month history of moderate diffuse abdominal pain, without asthenia, adynamic, anorexia, or weight loss, detecting a large abdominal mass, the computed tomography showed a retroperitoneal mass of 33 × 29 × 23 cm. Surgery was performed for its total removal, corresponding to fibrosarcoma with a weight of 13,800 g. Conclusions: standard treatment has become upfront primary surgical resection for most subtypes. Radiation and systematic therapy have a limited role.


REFERENCES

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  2. Álvarez AR, Manzano A, Agra PC, Artigas RV, Correa R, Cruz JJ et al.Updated review and clinical recommendations for the diagnosis andtreatment of patients with retroperitoneal sarcoma by the SpanishSarcoma Research Group (GEIS). Cancers (Basel). 2023; 15 (12):

  3. 3194. doi: 10.3390/cancers15123194.3. Sassa N. Retroperitoneal tumors: Review of diagnosis andmanagement. Int J Urology. 2020; 27: 1058-1070. doi: 10.1111/iju.14361.

  4. Asencio PJM, Fernandez HJA, Blanco FG, Muñoz CC, Álvarez AR, FoxAB et al. Update in pelvic and retroperitoneal sarcoma management:the role of compartment surgery. Cir Esp (Engl Ed). 2019; 97 (9): 480-488. doi: 10.1016/j.ciresp.2019.06.011.

  5. Sun PP, Du XM, Gao Y, Zhao HY, Wang LL, Zhang Y et al.Clinicopathologic features of retroperitoneal malignant solitaryfibrous tumors. Crit Rev Eukaryot Gene Expr. 2021; 31 (4): 21-33.doi: 10.1615/CritRevEukaryotGeneExpr.2021037880.




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Acta Med. 2026;24