Challenging retrovesical mass in men: report of a rare liposarcoma case with concurrent COVID-19 infection
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 h...
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| Veröffentlicht in: | BMJ case reports 2021-03, Vol.14 (3), p.e241466 |
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| description | 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. |
| doi_str_mv | 10.1136/bcr-2020-241466 |
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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.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2020-241466</identifier><identifier>PMID: 33653868</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Asymptomatic ; Biopsy ; Bladder ; Case Report ; Case reports ; Catheters ; Chemoradiotherapy, Adjuvant - methods ; Chemotherapy ; Coronaviruses ; COVID-19 ; COVID-19 - diagnosis ; COVID-19 - therapy ; Dissection - methods ; Histopathology ; Humans ; Infections ; Liposarcoma ; Liposarcoma - pathology ; Liposarcoma - physiopathology ; Lower Urinary Tract Symptoms - diagnosis ; Lower Urinary Tract Symptoms - etiology ; Magnetic Resonance Imaging - methods ; Male ; Mens health ; Middle Aged ; Neoplasm Grading ; Pain ; Pelvic Neoplasms - pathology ; Pelvic Neoplasms - physiopathology ; Prostate ; Retention ; Sarcoma ; SARS-CoV-2 - isolation & purification ; Severe acute respiratory syndrome coronavirus 2 ; Surgery ; Surgical Procedures, Operative - methods ; Time-to-Treatment ; Treatment Outcome ; Tumors ; Urinary Retention - diagnosis ; Urinary Retention - etiology</subject><ispartof>BMJ case reports, 2021-03, Vol.14 (3), p.e241466</ispartof><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. https://bmj.com/coronavirus/usage?</rights><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. 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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.</description><subject>Abdomen</subject><subject>Asymptomatic</subject><subject>Biopsy</subject><subject>Bladder</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Chemoradiotherapy, Adjuvant - methods</subject><subject>Chemotherapy</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - diagnosis</subject><subject>COVID-19 - therapy</subject><subject>Dissection - methods</subject><subject>Histopathology</subject><subject>Humans</subject><subject>Infections</subject><subject>Liposarcoma</subject><subject>Liposarcoma - pathology</subject><subject>Liposarcoma - physiopathology</subject><subject>Lower Urinary Tract Symptoms - diagnosis</subject><subject>Lower Urinary Tract Symptoms - etiology</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Mens health</subject><subject>Middle Aged</subject><subject>Neoplasm Grading</subject><subject>Pain</subject><subject>Pelvic Neoplasms - pathology</subject><subject>Pelvic Neoplasms - physiopathology</subject><subject>Prostate</subject><subject>Retention</subject><subject>Sarcoma</subject><subject>SARS-CoV-2 - isolation & purification</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Surgery</subject><subject>Surgical Procedures, Operative - methods</subject><subject>Time-to-Treatment</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Urinary Retention - diagnosis</subject><subject>Urinary Retention - etiology</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkcFrFDEUh4Motqw9e5OAFxHG5iWZZOJBKGvVQqEXFW8hyWR2s8wkazJT8b9vlq2lejGH5MH78uM9PoReAnkHwMS5dbmhhJKGcuBCPEGnIFvZSEV-PH1Un6CzUnakHga84-w5OmFMtKwT3SnarbdmHH3chLjB2c853foSnBnxZErBIeLJx_e1s095xmnABmeTPR7DPhWTXZoMdqZ4_CvMW-xSdEvOPs54ffP96mMDqkYM3s0hxRfo2WDG4s_u3xX69uny6_pLc33z-Wp9cd1Y3oq5aTtv1UA9tAxs51jLeEt72YMjwnXAlRqYEwYkENp3bOgt78FTa4mUvVPAVujDMXe_2Mn3rk6Tzaj3OUwm_9bJBP13J4at3qRbLRVVHbAa8OY-IKefiy-znkJxfhxN9GkpmnIlKJOyXiv0-h90l5Yc63oHqqWCE0EqdX6kXE6lZD88DANEH1TqqlIfVOqjyvrj1eMdHvg_4irw9gjYaffftDsdzado</recordid><startdate>20210302</startdate><enddate>20210302</enddate><creator>Jamtani, Indah</creator><creator>Nugroho, Adianto</creator><creator>Rahadiani, Nur</creator><creator>Manangka, R Semuel W</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9066-8685</orcidid><orcidid>https://orcid.org/0000-0002-4809-0063</orcidid><orcidid>https://orcid.org/0000-0003-2342-8133</orcidid></search><sort><creationdate>20210302</creationdate><title>Challenging retrovesical mass in men: report of a rare liposarcoma case with concurrent COVID-19 infection</title><author>Jamtani, Indah ; Nugroho, Adianto ; Rahadiani, Nur ; Manangka, R Semuel W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b456t-58eb9f2e1531b8c353452d7d1c06c81499f3c6a17102d83fdb4d1e2bb077dc913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>Asymptomatic</topic><topic>Biopsy</topic><topic>Bladder</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Chemoradiotherapy, Adjuvant - methods</topic><topic>Chemotherapy</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - diagnosis</topic><topic>COVID-19 - therapy</topic><topic>Dissection - methods</topic><topic>Histopathology</topic><topic>Humans</topic><topic>Infections</topic><topic>Liposarcoma</topic><topic>Liposarcoma - pathology</topic><topic>Liposarcoma - physiopathology</topic><topic>Lower Urinary Tract Symptoms - diagnosis</topic><topic>Lower Urinary Tract Symptoms - etiology</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Mens health</topic><topic>Middle Aged</topic><topic>Neoplasm Grading</topic><topic>Pain</topic><topic>Pelvic Neoplasms - pathology</topic><topic>Pelvic Neoplasms - physiopathology</topic><topic>Prostate</topic><topic>Retention</topic><topic>Sarcoma</topic><topic>SARS-CoV-2 - isolation & purification</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Surgery</topic><topic>Surgical Procedures, Operative - methods</topic><topic>Time-to-Treatment</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Urinary Retention - diagnosis</topic><topic>Urinary Retention - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jamtani, Indah</creatorcontrib><creatorcontrib>Nugroho, Adianto</creatorcontrib><creatorcontrib>Rahadiani, Nur</creatorcontrib><creatorcontrib>Manangka, R Semuel W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jamtani, Indah</au><au>Nugroho, Adianto</au><au>Rahadiani, Nur</au><au>Manangka, R Semuel W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Challenging retrovesical mass in men: report of a rare liposarcoma case with concurrent COVID-19 infection</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2021-03-02</date><risdate>2021</risdate><volume>14</volume><issue>3</issue><spage>e241466</spage><pages>e241466-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>33653868</pmid><doi>10.1136/bcr-2020-241466</doi><orcidid>https://orcid.org/0000-0001-9066-8685</orcidid><orcidid>https://orcid.org/0000-0002-4809-0063</orcidid><orcidid>https://orcid.org/0000-0003-2342-8133</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Asymptomatic Biopsy Bladder Case Report Case reports Catheters Chemoradiotherapy, Adjuvant - methods Chemotherapy Coronaviruses COVID-19 COVID-19 - diagnosis COVID-19 - therapy Dissection - methods Histopathology Humans Infections Liposarcoma Liposarcoma - pathology Liposarcoma - physiopathology Lower Urinary Tract Symptoms - diagnosis Lower Urinary Tract Symptoms - etiology Magnetic Resonance Imaging - methods Male Mens health Middle Aged Neoplasm Grading Pain Pelvic Neoplasms - pathology Pelvic Neoplasms - physiopathology Prostate Retention Sarcoma SARS-CoV-2 - isolation & purification Severe acute respiratory syndrome coronavirus 2 Surgery Surgical Procedures, Operative - methods Time-to-Treatment Treatment Outcome Tumors Urinary Retention - diagnosis Urinary Retention - etiology |
| title | Challenging retrovesical mass in men: report of a rare liposarcoma case with concurrent COVID-19 infection |
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