Palmar well differentiated spindle cell liposarcoma: presentation of a rare tumor at a rare site.

[well-differentiated liposarcoma]

The most common soft tissue sarcomas of hand are epitheloid sarcomas , synovial sarcomas and malignant fibrous histiocytomas which are high grade , aggressive tumors . Liposarcomas of the hand are extremely rare and to the best of our knowledge less than 20 cases have been reported so far in the literature . Well differentiated spindle cell liposarcoma is an extremely rare subtype of well differentiated liposarcoma /atypical lipomatous tumor which is different from the other subtypes clinicopathologically , genetically and prognostically . Palmar localization of this rare variant of liposarcoma at this site makes ours only the second case reported in the world literature so far . This recently described entity is low grade lesion and the hand surgeons need to adopt a less aggressive approach in the treatment of this subtype .