Table 1

Characteristics of patients who had retroperitoneal liposarcoma extending to the inguinal canal

CharacteristicHernia repair as initial operationMass excision as initial operation
Patient 1Patient 2Patient 3Patient 4Patient 5Patient 6
SexMaleFemaleMaleMaleMaleMale
Age, yr605249514343
SymptomPalpable massPalpable massN/APalpable massDyspepsiaPalpable mass
LateralityRightRightLeftLeftRightLeft
LocationHemiabdomenEntire abdomenPelvis to kidneyPelvisEntire abdomenHemiabdomen
Tumour size, cm28301822.53237
Scrotal involvementYesN/ANoNoYesNo
Delay of excision, mo201262111
No. of operations before excision211000
Excision centreSMCSMCSMCOutsideSMCSMC
Resected organsMass, kidney, ileuocecum, testisMass, ovary, arteryMass, kidney, colonMassMass, kidney, adrenal, testisMass, kidney, small bowel, colon
HistologyDDLPSDDLPSDDLPS 70%
WDLPS 30%
WDLPSWDLPSDDLPS 90%
WDLPS 10%
Grade3N/AN/AN/A12
MarginN/AN/APositiveN/AN/APositive
Organ invasionPositiveN/ANegativeN/ANegativePositive
Postoperative complication (classification)*Wound (I), delirium (II)NoneNoneIleus (II)Azotemia(I)Wound(I)
Adjuvant therapyOnly chemotherapy after fourth operationRadiotherapy after excisionN/ARadiotherapy after first excisionN/ARadiotherapy after excision, chemotherapy after third recurrence
No. of recurrences after excision203802
RecurrenceLocalN/ALocal, distant (liver)LocalN/ALocal
Disease-free survival, mo2891201114
DeathYesNoYesNoNoNo
Total follow-up, mo398912901125
Final statusDeathDisease-freeDeathInoperable progressionDisease-freeInoperable progression
Inoperable disease-free survival, mo28899901122
  • DDLPS = de-differentiated liposarcoma; N/A = not applicable; SMC = Samsung Medical Center; WDLPS = well-differentiated liposarcoma.

  • ↵* Clavien–Dindo classification.