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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
"first case"
symptom
achondroplasia
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
gm1 gangliosidosis
harlequin ichthyosis
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
krabbe disease
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
systemic capillary leak syndrome
thoracic outlet syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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