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Cytogenetic and molecular cytogenetic findings in giant dedifferentiated liposarcoma of the thigh.
[dedifferentiated liposarcoma]
Non-retroperitoneal
dedifferentiated
liposarcoma
(
DDLS
)
is
relatively
uncommon
and
its
characterization
at
the
molecular
genetic
level
has
been
limited
.
We
describe
the
cyto-genetic
and
molecular
cytogenetic
findings
of
giant
DDLS
arising
in
the
right
thigh
of
an
83
-
year
-old
woman
.
Magnetic
resonance
imaging
revealed
a
mass
composed
of
two
components
with
heterogeneous
signal
intensities
,
suggesting
the
coexistence
of
a
fatty
area
and
another
soft
tissue
component
.
A
wide
resection
of
the
tumor
was
performed
.
The
resected
,
grossly
heterogeneous
mass
,
measuring
26
x
18
x
8
cm
,
was
histopathologically
composed
of
a
well-differentiated
liposarcomatous
component
transitioning
abruptly
into
a
dedifferentiated
one
.
Cytogenetic
analysis
exhibited
a
complex
karyotype
with
several
numerical
and
structural
alterations
,
including
ring
and
giant
marker
chromosomes
.
Metaphase-based
comparative
genomic
hybridization
analysis
showed
high
-level
amplifications
of
1
q
21
-
q
25
and
12
q
13
-
q
21
.
Interphase
fluorescence
in
situ
hybridization
analysis
revealed
MDM
2
and
CDK
4
gene
amplification
in
both
the
well-differentiated
and
dedifferentiated
components
.
These
findings
indicate
that
DDLS
of
the
extremity
shares
a
similar
genetic
background
to
retroperitoneal
DDLS
.
Diseases
Validation
Diseases presenting
"liposarcoma"
symptom
dedifferentiated liposarcoma
erdheim-chester disease
focal myositis
gm1 gangliosidosis
liposarcoma
pleomorphic liposarcoma
well-differentiated liposarcoma
This symptom has already been validated