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Indian Journal of Pathology and Microbiology
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CASE REPORT
Year : 2010  |  Volume : 53  |  Issue : 3  |  Page : 525-528

Mediastinal liposarcoma of mixed type in childhood: A report of a case with unusual histologic features


1 Wilmer Eye Institute at the Johns Hopkins Hospital, Baltimore, MD 21287-9248, USA
2 Department of Pathology, Teaching Block, I Floor, All India Institute of Medical Sciences, New Delhi, India
3 Department of Pediatric Surgery, Teaching Block, V Floor, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
K D Anand Rajan
Maumenee 417 600 N Wolfe St, Wilmer Eye Institute at the Johns Hopkins Hospital, Baltimore
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0377-4929.68297

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We hereby report the occurrence of mediastinal liposarcoma in a 11-year-old female child. Dyspnea and wheezing of long-standing duration were the presenting complaints and a preoperative biopsy failed to yield the diagnosis. Histologic examination revealed heterogeneous areas with well-differentiated liposarcoma-like areas, areas resembling myxoid liposarcoma, and areas of dedifferentiation. Osteosarcomatous foci and whorled areas reminiscent of meningioma were identified in the dedifferentiated areas. Liposarcomas in the mediastinum are extremely rare tumors of childhood and the present case showed unusual histologic features. Complete surgical excision with clear surgical margins remains the primary modality of treatment, although chemotherapy and radiotherapy have been tried.


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