Incidental Diagnosis of Primary Pleural Liposarcoma in a COVID-19-Positive Patient

A few cases of primary liposarcoma of pleura have been reported worldwide. We report a young gentleman who was admitted with what was initially thought as coronavirus disease 2019 (COVID-19)-related pulmonary symptoms. His chest CT showed a large pleural effusion causing a mediastinal shift and comp...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 7
Main Authors Al Harrasi, Khoula, Al-Kindi, Adil H, Al Lawati, Abdullah, Al Hosni, Fatma, Al Shezawi, Asma
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 20.07.2023
Cureus
Subjects
Cardiac/Thoracic/Vascular Surgery
Chemotherapy
Coronaviruses
COVID-19
General Surgery
Hemothorax
Hospitals
Liposarcoma
Medical diagnosis
Ostomy
Pleural effusion
Radiation therapy
Surgery
Tumors
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Summary:A few cases of primary liposarcoma of pleura have been reported worldwide. We report a young gentleman who was admitted with what was initially thought as coronavirus disease 2019 (COVID-19)-related pulmonary symptoms. His chest CT showed a large pleural effusion causing a mediastinal shift and compressing vital structures. He did not respond to conservative drainage intervention and subsequently underwent a left thoracotomy for his worsening clinical picture. He was found to have a large left pleural mass that was incompletely resected. Histopathology examination showed low-grade soft tissue sarcoma with lipogenic differentiation suggestive of myxoid liposarcoma. He was subsequently given adjuvant chemotherapy but succumbed and died because of the progression of the disease.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.42207