Liposarcoma physical examination: Difference between revisions
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Physical examination findings will depend on the location of the liposarcoma. Most liposarcomas are located in the lower extremities or in the [[retroperitoneum]]. | |||
====Extremities==== | ====Extremities==== | ||
*A palpable firm nontender mass may be appreciated on physical examination. Assessment of the following mass characteristics is crucial during physical examination: | |||
*A | |||
:* Size | :* Size | ||
:* Location | :* Location | ||
| Line 24: | Line 19: | ||
:* Involvement of adjacent structures (such as peripheral [[nerves]] or [[veins]]) | :* Involvement of adjacent structures (such as peripheral [[nerves]] or [[veins]]) | ||
:* Edema | :* Edema | ||
====Lymphadenopathy==== | |||
*Regional nontender [[lymphadenopathy]] may be a pertinent finding on physical examination that suggests [[lymph]] node involvement, which is important for TNM staging of the disease. | |||
*Whole-body examination for lymphadenopathy is also warranted to evaluate for [[distal metastasis]]. | |||
====Abdominal==== | ====Abdominal==== | ||
*The physical examination | *The physical examination is usually unremarkable among patients with [[retroperitoneal]] liposarcomas. The development of symptoms may not start until the [[retroperitoneal]] liposarcomas measures up to 10-20 cm | ||
*Other pertinent physical examination 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 abdominal [[mass]]. Commonly, abdominal liposarcomas are located in the lower quadrants. | ||
:* Palpable [[mass]] | |||
:* Abdominal [[tenderness]] | :* Abdominal [[tenderness]] | ||
:* [[Abdominal distention]] | :* [[Abdominal distention]] | ||
Revision as of 19:03, 23 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 findings of liposarcoma depend on the location of the tumor. Since most liposarcomas are located in the lower extremities, liposarcoma is commonly associated with the findings of palpable firm nontender mass in one lower extremity. 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. Physical examination findings of retroperitoneal liposarcomas include abdominal distension and tenderness.
Physical Examination
Physical examination findings will depend on the location of the liposarcoma. Most liposarcomas are located in the lower extremities or in the retroperitoneum.
Extremities
- A palpable firm nontender mass may be appreciated on physical examination. Assessment of the following mass characteristics is crucial during physical examination:
Lymphadenopathy
- Regional nontender lymphadenopathy may be a pertinent finding on physical examination that suggests lymph node involvement, which is important for TNM staging of the disease.
- Whole-body examination for lymphadenopathy is also warranted to evaluate for distal metastasis.
Abdominal
- The physical examination is usually unremarkable among patients with retroperitoneal liposarcomas. The development of symptoms may not start until the retroperitoneal liposarcomas measures up to 10-20 cm
- Other pertinent physical examination findings for retroperitoneal location include:[1]
- Palpable abdominal mass. Commonly, abdominal liposarcomas are located 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.