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非典型梭形细胞脂肪瘤样肿瘤病例报告:一种罕见实体。

A case report on atypical spindle cell lipomatous tumor: A rare entity.

作者信息

Bhattarai Himal Bikram, Chhantyal Sangit, Dahal Krishna, Shah Sangam, Yadav Saroj Kumar, Yadav Binita Kumari, Subedi Ayusha, Baniya Santosh, Singh Prabesh Bikram, Priya Anshu

机构信息

Gandaki Medical College and Teaching Hospital, Pokhara, Nepal.

Tribhuvan University, Institute of Medicine, Maharajgunj, 44600, Nepal.

出版信息

Ann Med Surg (Lond). 2022 Jul 16;80:104205. doi: 10.1016/j.amsu.2022.104205. eCollection 2022 Aug.

Abstract

INTRODUCTION

Atypical spindle cell lipomatous tumor (ASPLT), a separate entity for the group of benign/low grade adipocytic neoplasm that is characterized by adipocyte adequacy and the presence of lipoblast-like cells and spindle cells at varying degrees.

CASE PRESENTATION

Here, we report a rare case of 60 years old male with atypical spindle cell lipomatous tumor in the anterior abdominal wall.

DISCUSSION

Histopathology is the gold standard for establishing the diagnosis and grade of soft tissue tumor and consistent radiology-pathology correlation is essential to avoid any diagnostic pitfalls [1]. Ultrasound is preferred as an initial investigation for superficially located lesions.

CONCLUSION

ASPLT show a wide variety of microscopic features, and differential diagnosis is important and difficult. Recognition of morphologic clues and immunohistochemistry/molecular tests to confirm the diagnosis.

摘要

引言

非典型梭形细胞脂肪瘤(ASPLT)是良性/低级别脂肪细胞肿瘤组中的一个独立实体,其特征是脂肪细胞充足,并存在不同程度的脂肪母细胞样细胞和梭形细胞。

病例报告

在此,我们报告一例罕见的60岁男性前腹壁非典型梭形细胞脂肪瘤病例。

讨论

组织病理学是确立软组织肿瘤诊断和分级的金标准,一致的放射学-病理学相关性对于避免任何诊断陷阱至关重要[1]。超声作为浅表病变的初步检查方法更为可取。

结论

ASPLT表现出多种微观特征,鉴别诊断既重要又困难。识别形态学线索以及进行免疫组织化学/分子检测以确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9109/9422173/088a5cd37c74/gr1.jpg

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