Liposarcoma physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{AL}} | {{CMG}}; {{AE}} {{AL}} | ||
==Overview== | ==Overview== | ||
The physical examination findings will depend on the location of the liposarcoma, being the most common location the lower extremities. The main finding is a painless, slow growing, firm [[mass]] in one of the lower [[extremities]]. [[Retroperitoneal]] liposarcomas would have a late presentation and the physical examination findings include abdominal tenderness, [[abdominal distention]] and [[weight loss]]. | |||
==Physical Examination== | ==Physical Examination== |
Revision as of 21:02, 22 September 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
The physical examination findings will depend on the location of the liposarcoma, being the most common location the lower extremities. The main finding is a painless, slow growing, firm mass in one of the lower extremities. Retroperitoneal liposarcomas would have a late presentation and the physical examination findings include abdominal tenderness, abdominal distention and weight loss.
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
- Abdominal distention
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.