Simultaneous Epstein Barr virus and cytomegalovirus infection accompanied by leiomyomatous change in a well-differentiated liposarcoma in a patient with long-term corticosteroid treatment
1997

Case of Liposarcoma with Viral Infections

Sample size: 1 publication Evidence: low

Author Information

Author(s): PAUL R. A. SARS, WILLEMINA M. MOLENAAR, JAN KOUDSTAAL, HARALD J. HOEKSTRA

Primary Institution: Groningen University Hospital

Hypothesis

Long-term corticosteroid use may be linked to the development of leiomyomatous tumors with EBV infection.

Conclusion

The case suggests a potential relationship between EBV and CMV infections and the development of leiomyomatous changes in a well-differentiated liposarcoma.

Supporting Evidence

  • The tumor was characterized by well-differentiated liposarcoma with a core of leiomyomatous differentiation.
  • Immunoperoxidase stains showed CMV and EBV infections in the tumor.
  • The patient had a long history of corticosteroid use, which may have contributed to her immunosuppressed state.

Takeaway

A 59-year-old woman with a large tumor had both EBV and CMV infections, which might be related to her long-term steroid use.

Methodology

The study involved a tru-cut biopsy and postmortem examination of the tumor, along with immunohistochemical staining and in situ hybridization for viral detection.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

59-year-old Caucasian female with a history of chronic obstructive pulmonary disease and long-term corticosteroid use.

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