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Liposarcoma of the oral cavity--case reports of the pleomorphic and the dedifferentiated variants and a review of the literature.
[pleomorphic liposarcoma]
Liposarcoma
is
one
of
the
commonest
soft
-tissue
sarcomas
,
but
very
rare
in
the
oral
cavity
.
We
present
two
cases
of
liposarcoma
of
the
oral
cavity
,
together
with
the
related
clinical
,
histopathological
and
immunohistochemical
findings
:
one
affecting
the
cheek
of
a
62
-
year
-old
man
and
the
other
the
gingival
maxillary
tuber
of
a
41
-
year
-old
woman
.
At
histological
examination
a
diagnosis
of
liposarcoma
was
made
in
both
cases
.
In
the
first
case
,
immunohistochemical
analysis
revealed
intense
positivity
for
p
53
,
MIB-
1
,
MDM
2
,
and
focal
positivity
for
S
100
protein
and
CD
34
,
but
was
negative
for
alpharsmooth
muscle
actin
,
desmin
and
CD
68
.
The
second
case
it
was
intensely
positive
for
p
53
,
MIB-
1
,
S-
100
,
and
focal
positive
for
MDM
2
,
but
negative
for
alpha
smooth
muscle
actin
,
CD
34
,
CD
68
and
desmin
.
Histological
examination
and
immunohistochemical
profiles
in
the
first
case
were
consistent
with
pleomorphic
liposarcoma
,
whilst
that
in
the
second
case
with
dedifferentiated
liposarcoma
.
Both
patients
were
subjected
to
surgical
treatment
with
wide
surgical
margins
,
without
adjuvant
radio-
or
chemotherapy
.
The
first
case
was
lost
at
follow-up
one
year
after
surgery
,
while
the
second
case
has
not
undergone
relapse
after
seven
years
.
We
discuss
differential
diagnosis
,
examining
the
histopathological
and
immunohistochemical
features
that
are
potentially
useful
for
distinguishing
this
tumor
from
other
malignant
adipose
tissue
tumors
.
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