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Liposarcomas: diagnostic pitfalls and new insights.
[well-differentiated liposarcoma]
Liposarcomas
represent
the
most
common
histotype
among
soft
tissue
sarcomas
.
However
,
liposarcomas
in
fact
constitute
a
heterogeneous
group
of
distinctive
lesions
that
pose
several
diagnostic
difficulties
.
The
current
World
Health
Organization
classification
of
soft
tissue
and
bone
tumours
recognizes
four
major
liposarcoma
subtypes
:
(
i
)
atypical
lipomatous
tumour
/
well-differentiated
liposarcoma
;
(
ii
)
de
-differentiated
liposarcoma
;
(
iii
)
myxoid
liposarcoma
;
and
(
iv
)
pleomorphic
liposarcoma
.
These
four
main
subgroups
are
characterized
by
distinctive
morphologies
,
unique
genetic
findings
as
well
as
distinct
clinical
behaviour
.
Accurate
classification
requires
the
integration
of
morphological
,
immunohistochemical
and
(
in
selected
situations
)
genetic
findings
,
and
is
essential
for
providing
patients
with
the
best
available
treatments
.
This
review
will
focus
upon
the
main
diagnostic
pitfalls
encountered
in
the
routine
diagnosis
of
liposarcoma
,
underlining
the
diagnostic
value
of
combining
morphology
with
cytogenetics
and
molecular
genetics
.
Diseases
Validation
Diseases presenting
"main diagnostic pitfalls"
symptom
pleomorphic liposarcoma
well-differentiated liposarcoma
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