Human pathology

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retroperitoneal lipoma

primary retroperitoneal lipoma

Differential diagnosis

Adipose tissue tumors of the retroperitoneum showing no identifiable cytologic atypia are usually classified as lipomalike well-differentiated liposarcoma.

Whether a subset of these tumors represents true examples of retroperitoneal lipoma remains a controversial subject, because the diagnostic liposarcoma cells may be of difficult identification, even after extensive sampling.

Synopsis

- no evidence of cytologic atypia.

Cytogenetic

- t(3;12)(q27;q14-15) (18551755)
- MDM2 and CDK4 amplification (18551755)
- HMGA2 balanced rearrangement (18551755)

Molecular biology

- HMGA2-LPP fusion gene (18551755)

References

- Ida CM, Wang X, Erickson-Johnson MR, Wenger DE, Blute ML, Nascimento AG, Oliveira AM. Primary retroperitoneal lipoma: a soft tissue pathology heresy?: report of a case with classic histologic, cytogenetics, and molecular genetic features. Am J Surg Pathol. 2008 Jun;32(6):951-4. PMID: 18551755