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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2181 - 18 October 2018 Posted By: Raul Perret

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Deep tumor located in the thigh of a 40 year old female. Schwannoma?


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I see a soft tissue sarcoma composed of stellate cells and some lypoblasts (as seen in the last picture) within a myxoid stroma. Thare are more hypercellular areas in the periphery of the nodular arrangement and a plexiform vasculature like (chicken wire vasculature). My diagnosis is Myxoid liposarcoma.

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Completely agree with myxoid liposarcoma. Nice chicken wire vascular network. 

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Alex-Ventura-Leon

Posted

Agree whit Myxoid Liposarcoma.

Age and location is classic too.

Beatiful images and nice description by Igor.

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Raul Perret

Posted (edited)

Yes agree with you all this is myxoid liposarcoma a beautiful "text book" case showing the lobular architecture with hypercellularity at the periphery, chicken wire/plexiform capillaries, spindle to round cells with no atypia, mucin pools and lipoblasts. There was also a small portion of a high grade area (round cell) that is not shown in the pictures. Have a nice weekend 

 

 

Edited by Raul Perret
Wrong post

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