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Pleomorphic liposarcoma: a clinicopathological, immunohistochemical and molecular cytogenetic study of 32 additional cases.
[well-differentiated liposarcoma]
The
purpose
of
this
study
is
to
report
the
author
's
experience
with
32
cases
of
pleomorphic
liposarcoma
to
further
broaden
the
clinicopathological
spectrum
.
The
tumours
occurred
equally
in
males
and
females
with
ages
ranging
from
11
to
83
years
(
median
,
56
years
)
.
Tumour
site
included
the
extremities
(
17
cases
)
,
abdomen
/
retroperitoneum
(
4
cases
)
,
internal
organs
(
5
cases
)
,
thoracic
cavity
/
mediastinum
(
2
cases
)
,
orbit
,
neck
,
groin
and
scrotum
(
1
case
each
)
.
The
diagnostic
pleomorphic
lipoblasts
were
identified
in
31
primary
tumours
and
one
recurrent
tumor
but
varied
widely
in
proportion
between
cases
or
different
areas
of
the
same
tumor
.
Four
tumors
contained
sheets
or
focal
aggregates
of
lipoblasts
with
epithelioid
morphology
.
The
nonlipogenic
component
in
26
cases
had
an
appearance
of
undifferentiated
pleomorphic
sarcoma
,
whereas
in
six
cases
it
was
consistent
with
intermediate
to
high
grade
myxofibrosarcoma
.
The
pleormorphic
and
epithelioid
lipoblasts
displayed
variable
expression
of
S
100
protein
.
There
was
no
signal
of
amplified
MDM
2
gene
in
10
cases
tested
by
fluorescence
in
situ
hybridization
.
This
study
further
illustrates
that
pleomorphic
liposarcoma
is
a
distinctive
entity
with
no
relationship
to
either
well
differentiated
liposarcoma
or
dedifferentiated
liposarcoma
.
Albeit
very
rare
,
pleomorphic
liposarcoma
can
occur
in
teenaged
patients
and
internal
organs
.
Diseases
Validation
Diseases presenting
"dedifferentiated liposarcoma"
symptom
dedifferentiated liposarcoma
pleomorphic liposarcoma
well-differentiated liposarcoma
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