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Primary dedifferentiated liposarcoma of the axilla arising in a mixed, well-differentiated and myxoid liposarcoma.
[dedifferentiated liposarcoma]
We
describe
a
case
of
mixed
liposarcoma
of
the
axilla
presenting
as
a
high
grade
undifferentiated
sarcoma
with
areas
of
well-differentiated
and
myxoid
liposarcoma
.
MRI
demonstrated
a
lobulated
,
septated
intermuscular
mass
with
marked
heterogeneous
gadolinium
enhancement
.
A
small
focus
of
the
tumor
demonstrated
fat
suppressed
signal
more
characteristic
of
well-differentiated
liposarcoma
.
Pathologic
analysis
following
wide
local
excision
revealed
a
large
,
high
grade
sarcomatous
component
with
highly
pleomorphic
cells
with
a
thin
rim
of
well-differentiated
and
myxoid
liposarcoma
on
histologic
examination
.
Dedifferentiated
liposarcomas
arising
outside
of
the
retroperitoneum
are
very
rare
,
as
are
dedifferentiated
liposarcomas
arising
from
a
histologically
mixed
liposarcoma
.
In
this
regard
,
this
case
illustrates
an
unusual
combination
of
tumor
location
and
histology
which
,
to
our
knowledge
,
has
not
previously
been
reported
.
Diseases
Validation
Diseases presenting
"histology which"
symptom
dedifferentiated liposarcoma
well-differentiated liposarcoma
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