Images in clinical medicine | Volume 38, Article 413, 30 Apr 2021 | 10.11604/pamj.2021.38.413.27670

A 57 years old male with giant retroperitoneal mass, lymphocytosis and anemia

Danilo Coco, Silvana Leanza

Corresponding author: Danilo Coco, Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy

Received: 31 Dec 2020 - Accepted: 07 Apr 2021 - Published: 30 Apr 2021

Domain: Surgical oncology

Keywords: Giant retroperitoneal mass, lymphocytosis, anemia

©Danilo Coco et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Danilo Coco et al. A 57 years old male with giant retroperitoneal mass, lymphocytosis and anemia. Pan African Medical Journal. 2021;38:413. [doi: 10.11604/pamj.2021.38.413.27670]

Available online at: https://www.panafrican-med-journal.com/content/article/38/413/full

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Images in clinical medicine

A 57 years old male with giant retroperitoneal mass, lymphocytosis and anemia

A 57 years old male with giant retroperitoneal mass, lymphocytosis and anemia

Danilo Coco1,&, Silvana Leanza2

 

1Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy, 2Department of General Surgery, Carlo Urbani Hospital, Jesi, Ancona, Italy

 

 

&Corresponding author
Danilo Coco, Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy

 

 

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Retroperitoneal tumors give non-specific symptoms until they have reached a substantial size. Hystopathological types are: sarcomas such as liposarcoma (70%) and leiomyosarcoma (15%). Other retroperitoneal neoplasms include primary lymphoproliferative tumours (Hodgkin's and non-Hodgkin lymphoma) and epithelial tumours (renal, adrenal and pancreas) or metastatic disease. A 57-year-old male was referred to the emergency department with acute onset of severe melena, right back pain and lipothymia. He had no medical history. On physical examination arterial blood pressure was 70/60mmHg, pulse rate was 100b/min, oxygen saturation of 90%. Blood exams demonstrated lymphocytes 61 x 103/mmc, hemoglobin 6g/dl. Physical examination of the abdomen revealed a giant non-tender mass in the right quadrant. The patient was transfused with 4 units of blood. Abdomenn computed temography (CT) scan revealed a retroperitneal mass of 20cm with calcification involving the liver, the kidney and surrounding the vena cava. He was referred to a multi-disciplinary team (MDT) to perform a CT scan fine-needle-aspiration (FNA) with a differential diagnosis of lymphoma, sarcoma or renal neoplasia.

 

 

Figure 1: A) abdomenn CT scan revealed a retroperitneal mass of 20cm; B) abdomenn CT scan revealed a retroperitneal mass of 20cm with calcification involving the liver; C) abdomenn CT scan revealed a retroperitneal mass of 20cm with calcification involving the liver, the kidney and surrounding the vena cava

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

A 57 years old male with giant retroperitoneal mass, lymphocytosis and anemia

Images in clinical medicine

A 57 years old male with giant retroperitoneal mass, lymphocytosis and anemia

Images in clinical medicine

A 57 years old male with giant retroperitoneal mass, lymphocytosis and anemia

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Key words

Giant retroperitoneal mass

Lymphocytosis

Anemia

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