Liposarcoma physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
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[[File:Liposarcoma Knee.jpg|thumb|350px|Liposarcoma in the right knee. Image courtesy of Wikimedia Commons.]] | [[File:Liposarcoma Knee.jpg|thumb|350px|Liposarcoma in the right knee. Image courtesy of Wikimedia Commons.]] | ||
[[File:Liposarcoma.jpg|thumb|350px|Liposarcoma in the left scapular region. Image courtesy of Wikimedia Commons.]] | [[File:Liposarcoma.jpg|thumb|350px|Liposarcoma in the left scapular region. Image courtesy of Wikimedia Commons.]] | ||
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*The physical examination findings will depend on the location of the liposarcoma, the most common locations are in the extremities or [[retroperitoneal]]. | |||
*It is important to search for [[lymph node]] enlargement, as well as the size of the tumor to determine the stage of the disease. | |||
*An entire body examination is mandatory to assess [[lymph node]] involvement and distant [[metastasis]]. | |||
====Extremities==== | ====Extremities==== | ||
*The most common location is in the lower extremities, specially in the tight or popliteal region. | *The most common location is in the lower extremities, specially in the tight or popliteal region. | ||
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:* Location | :* Location | ||
:* Depth | :* Depth | ||
:* Involvement of adjacent structures (such as peripheral nerves or veins) | :* Involvement of adjacent structures (such as peripheral [[nerves]] or [[veins]]) | ||
:* Edema | :* Edema | ||
====Abdominal==== | ====Abdominal==== | ||
*The physical examination might be unremarkable in case of retroperitoneal liposarcomas. | *The physical examination might be unremarkable in case of [[retroperitoneal]] liposarcomas. | ||
*Most retroperitoneal liposarcomas can measure up to 20 cm before causing symptoms. | *Most [[retroperitoneal]] liposarcomas can measure up to 20 cm before causing symptoms. | ||
*Physical findings for retroperitoneal location include:<ref name="KumarasamyGayer2011">{{cite journal|last1=Kumarasamy|first1=Narmadan A.|last2=Gayer|first2=Gabriela|title=Retroperitoneal Sarcomas|journal=Seminars in Ultrasound, CT and MRI|volume=32|issue=5|year=2011|pages=422–432|issn=08872171|doi=10.1053/j.sult.2011.06.002}}</ref> | *Physical findings for [[retroperitoneal]] location include:<ref name="KumarasamyGayer2011">{{cite journal|last1=Kumarasamy|first1=Narmadan A.|last2=Gayer|first2=Gabriela|title=Retroperitoneal Sarcomas|journal=Seminars in Ultrasound, CT and MRI|volume=32|issue=5|year=2011|pages=422–432|issn=08872171|doi=10.1053/j.sult.2011.06.002}}</ref> | ||
:* Palpable mass in any of the abdominal quadrants (more common in the lower quadrants) | :* Palpable mass in any of the abdominal quadrants (more common in the lower quadrants) | ||
:* Abdominal tenderness | :* Abdominal tenderness | ||
Revision as of 17:47, 19 September 2014
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Liposarcoma Microchapters |
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Liposarcoma physical examination On the Web |
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American Roentgen Ray Society Images of Liposarcoma physical examination |
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Risk calculators and risk factors for Liposarcoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
Physical Examination
- The physical examination findings will depend on the location of the liposarcoma, the most common locations are in the extremities or retroperitoneal.
- It is important to search for lymph node enlargement, as well as the size of the tumor to determine the stage of the disease.
- An entire body examination is mandatory to assess lymph node involvement and distant metastasis.
Extremities
- The most common location is in the lower extremities, specially in the tight or popliteal region.
- A painless mass is palpated in the anatomic location of the liposarcoma.
- In the physical examination, is important to assess the following characteristics:
Abdominal
- The physical examination might be unremarkable in case of retroperitoneal liposarcomas.
- Most retroperitoneal liposarcomas can measure up to 20 cm before causing symptoms.
- Physical findings for retroperitoneal location include:[1]
- Palpable mass in any of the abdominal quadrants (more common in the lower quadrants)
- Abdominal tenderness
References
- ↑ Kumarasamy, Narmadan A.; Gayer, Gabriela (2011). "Retroperitoneal Sarcomas". Seminars in Ultrasound, CT and MRI. 32 (5): 422–432. doi:10.1053/j.sult.2011.06.002. ISSN 0887-2171.