Introduction. - Though rare, observations of multiple liposarcomas show tha
t the development of secondary tumors occur in sites usually considered as
primary locations. This would be more frequent for myxoid liposarcomas than
for other subtypes of the disease. Their origin. either multicentric (ie,
coexistence of several primary tumors) or due to metastatic spreading, is s
till debated.
Exegesis. - We report a ease of myxoid-type multicentric (ie, right poplite
al fossa, retroperitoneum and soft tissue of the left arm) liposarcomas of
different sizes, without pulmonary, hepatic or osseous involvement. These l
iposarcoma were simultaneously diagnosed in a patient who presented with pa
in in the right knee,
Conclusion. - This support the hypothesis that multiple liposarcomas have a
multicentric origin. Initial and follow-up staging of such tumors must inv
estigate not only usual metastatic sites but also classical primary locatio
ns. (C) 1999 Elsevier, Paris.