Description
A 54-year-old Caucasian woman with no significant medical history presented to her primary care physician with chief complaints of right-sided abdominal dull pain and distension. There were no constitutional symptoms or other complaints such as nausea, vomiting, constipation, diarrhoea, melena or hematochezia. She was a non-smoker with no significant family history. Vital signs were stable and physical exam was insignificant except for dull pain on deep palpation of the right mid-abdomen. Laboratory studies including complete blood count, basic metabolic panel, liver function tests, serum amylase and serum lipase were all within normal range. CT of the abdomen revealed a large retroperitoneal mass which was concerning for a malignant sarcoma (figures 1 and 2). Positron emission tomography scan confirmed increased metabolic activity within the mass but no other areas of increased radiolabelled fluorodeoxyglucose uptake. She underwent radical resection of the mass by laparotomy, and pathology was...
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