Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of progressive abdominal distension, early satiety, and vague dull flank or pelvic pain. No history of constitutional symptoms (fever, night sweats) or weight loss. Incidental finding of a large retroperitoneal/pelvic mass on prior imaging. No history of hematuria, bowel habit changes, or lower extremity edema.
Clinical Examination Findings
Abdomen: Large, non-tender, firm, fixed mass palpated in the [RUQ/LUQ/Pelvic] region. No evidence of ascites or hepatosplenomegaly. Bowel sounds present. Extremities: No lower extremity edema or signs of DVT. Neurological: No focal deficits noted.
Treatment Protocol
Surgical resection (radical en-bloc excision) is the primary treatment modality. Consider preoperative biopsy if diagnosis is uncertain. Multidisciplinary tumor board review required for adjuvant/neoadjuvant radiotherapy or systemic chemotherapy planning. Post-operative surveillance with serial CT/MRI imaging of the abdomen and pelvis.