Case Number : CT0084 Adam_Bates

Myxoid liposarcoma.
 

Myxofibrolipoma. Need differential diagnosis with myxoid liposarcoma.
 

elastofibroma myxoid degeneration
 

or elastofibrolipoma
 

SPINDLE CELL / PLEOMORPHIC LIPOMA, WITH PROMINENT MYXOID CHANGE. THE DIFFERENTIAL DIAGNOSIS INCLUDES MYXOFIBROLIPOMA. ****** CLINICO-PATHOLOGICAL CORRELATION IS ESSENTIAL, AS TO WETHER THIS IS A SUPERFICIAL NEOPLASM OR IF IT IS DEEP-SEATED.
 

spindle cell lipoma /pleomorphic lipoma
 

I thought of spindle cell lipoma due to the rope like collagen in the last image
 

Spindle cell lipoma
 

I thought as well as my friend Mona of spindle cell lipoma with myxoid change
 

Spindle cell lipoma with myxoid change
 

I have to go out today and so am giving the diagnosis early. The clinical history and the admixture of adipocytes, spindled cells and wiry collagen make the diagnosis of spindle cell lipoma. Sometimes these lesions can be quite myxoid. This is a particularly nice example. Phillip