The Evaluation of Carotid Atherosclerosis in Patients with the HIV-1 Infection: The Role of the Antiretroviral Therapy
Published: February 1, 2013 | DOI: https://doi.org/10.7860/JCDR/2013/.2742
Suparna P.N., Basavaprabhu Achappa, Unnikrishnan B., Deepak Madi, Mukta N. Chowta,
John T Ramapuram, Satish Rao, Soundarya Mahalingam
1. Intern, Department of General Medicine,
Kasturba Medical College, Mangalore
(Affiliated to Manipal University), India.
2. Associate Professor, Department of General Medicine,
Kasturba Medical College, Mangalore
(Affiliated to Manipal University), India.
3. Professor and HOD, Department of Community Medicine,
Kasturba Medical College, Mangalore
(Affiliated to Manipal University), India.
4. Assistant Professor, Department of General Medicine,
Kasturba Medical College, Mangalore
(Affiliated to Manipal University), India.
5.Professor, Department of Pharmacology,
Kasturba Medical College, Mangalore
(Affiliated to Manipal University), India.
6.Professor & Unit Chief, Department of General Medicine,
Kasturba Medical College, Mangalore
(Affiliated to Manipal University), India.
7.Associate Professor, Department of General Medicine,
Kasturba Medical College, Mangalore
(Affiliated to Manipal University), India.
Correspondence
Dr. Basavaprabhu Achappa,
Associate Professor, Department of General Medicine,
Kasturba Medical College, Attavar, Mangalore 575001 (India).
Phone: 9980170480
E-mail: bachu1504@gmail.com, bachu1504@yahoo.co.in
Retroperitoneal liposarcoma is a malignant mesenchymal tumour. The incidence is rare and early diagnosis is difficult as they present with non specific symptoms. A 55-year-old male patient, presented to General Surgery Department with complaints of abdominal swelling since two months and discomfort for three to four months. Abdominal examination revealed a mass, soft to firm in consistency with restricted mobility, was palpated in right quadrants. A clinical diagnosis of soft tissue tumour was made. Abdominopelvic computed tomography (CT) scan was performed showing a well-defined circumscribed, low-attenuated mass of retroperitoneal origin crossing midline and significantly displacing the intestinal loops, right grade 2 hydronephrosis and was compressing on inferior vena cava posteriorly. The patient underwent a resection surgery of the lesion and the histopathological examination showed a well-differentiated liposarcoma and Castleman’s disease. These tumours are generally resistant to radiotherapy and/or chemotherapy. Thus the major prognostic factor related to survival is resection with tumour-free margins that includes the tumour as well as adjacent structures showing infiltration.
[
FULL TEXT ] | [ PDF]