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Lipoblast: morphologic features and diagnostic value.
[liposarcoma]
Lipoblasts
are
conceptually
a
precursor
or
immature
form
of
adipocytes
and
histologically
defined
as
lipid-containing
,
monoï¼
or
multivacuolated
cells
possessing
hyperchromatic
,
indented
or
often
scalloped
nuclei
.
They
are
essentially
identified
in
neoplastic
conditions
and
assumed
to
recapitulate
,
to
some
extent
,
the
differentiation
process
of
normal
fat
(
adipogenesis
)
like
their
potential
normal
counterpart
,
preadipocyte
or
preadipose
cell
.
Traditionally
,
great
emphasis
has
been
placed
on
the
identification
of
lipoblasts
in
diagnostic
pathology
,
particularly
of
liposarcoma
.
However
,
it
is
not
always
an
easy
task
for
pathologists
because
of
a
variety
of
histological
mimics
such
as
Lochkern
cells
,
brown
fat
cells
and
pseudolipoblasts
.
Currently
,
lipoblasts
are
not
a
prerequisite
for
the
diagnosis
of
liposarcoma
partly
because
of
some
benign
tumors
harboring
lipoblasts
or
lipoblast-like
cells
such
as
spindle
cell
/
pleomorphic
lipoma
and
chondroid
lipoma
,
although
their
presence
is
still
crucial
for
proper
diagnosis
.
This
review
summarizes
the
clinicopathologic
features
of
lipoblasts
,
their
histological
mimics
and
representative
benign
tumors
carrying
lipoblasts
to
facilitate
routine
pathology
practice
and
to
avoid
erroneous
diagnosis
of
liposarcoma
.
Diseases
Validation
Diseases presenting
"often scalloped nuclei"
symptom
liposarcoma
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