Rationale:
Dedifferentiated liposarcoma (DL) of the ovary is a rare mesenchymal tumor which is difficult to diagnose before surgery. The diagnose of DL was depended on the morphology, Immunohistochemical stains, and fluorescence in situ hybridization after the complete surgical resection.
Patient concerns:
We report a case of 63-year-old postmenopausal female who presented with a large pelvic mass and was initially thought to be an original ovarian tumor. However, it was subsequently considered to be a DL arising from the mesentery and developing in ovary.
Diagnosis:
Ovarian DL.
Interventions:
Bilateral salpingo-oophorectomy.
Outcomes:
Until now, there is no recurrence symptoms represented in the patient after surgery for 12 months.
Lessons:
DL happening in ovary is rare. In this case, the exact origin of the mass still remains ambiguous because of the lack of morphological evidence. Although retroperitoneum is the most common area of DL origin, we for long suspect that the mass was initially derived from mesentery and developed in ovary. A long-term may help confirm the exact origin of the tumor. Complete surgical resection plays an important role in the treatment.
In order to safely and efficiently use soft rock aggregate cemented dams in red bed regions and promote the development of widely sourced cemented sand and gravel dam materials, the Jinjigou project in China applied soft rock for the first time in the construction of cemented material dams. This article further explores the concept of cemented material dams from conducting on-site direct shear tests and research on soft rock material ratios and explores and invents a new structure and construction method by combining soft rock cemented sand and gravel with cemented rockfill. This article also proposes a digital mixing and intelligent dynamic control method for cemented material dams with soft rock. The research results show that soft rock aggregate content not exceeding 60% can produce soft rock cemented gravel with a compressive strength of no less than 6 MPa. The stress on the dam body is small and does not produce tensile stress. The dam body with added soft rock has certain shear-bearing capacity, with a shear friction coefficient of 0.99~1.10 MPa, cohesion of 0.26~0.53 MPa, and high residual strength, accounting for 60~80% of the peak strength. At the same time, the problems of large fluctuations in moisture content and the uneven grading of the soft rock and riverbed gravel mix during the mixing and production process, and the significant influence on safety caused by the large strength dispersion of the cemented sand and gravel, are resolved, ensuring the quality of soft rock cemented sand and gravel preparation. The successful application of soft rock cemented material dams in Jinjigou has achieved a breakthrough in key technologies for soft rock cemented dam construction in red bed regions, proving the feasibility of soft rock cemented material dam construction and having broad prospects for application and promotion.
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