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thoracic liposarcoma
Monday 27 August 2012
Liposarcomas of the mediastinum and thorax
Liposarcoma rarely occurs in the thiorax.
The mediastinum shows a preponderance of uncommon subtypes and unusual morphologic variants.
Correct classification has important implications, with most patients with well-differentiated/dedifferentiated liposarcoma having a protracted clinical course, in contrast to the more rapid disease progression seen in patients with myxoid and pleomorphic liposarcoma.
Types
well-differentiated liposarcoma
dedifferentiated liposarcoma
pleomorphic liposarcomas (CPM- or DDIT3-)
myxoid liposarcoma
unclassifiable liposarcoma (CPM- and DDIT3-)
unusual subtypes
- myxoid well-differentiated liposarcoma
- lipoleiomyosarcoma
- dedifferentiated liposarcoma with "meningothelial"-like dedifferentiation
- differentiated myxoid liposarcoma mimicking well-differentiated liposarcoma (CPM-)
- pleomorphic liposarcoma with epithelioid and myxoid change.
Reference
Liposarcomas of the mediastinum and thorax: a clinicopathologic and molecular cytogenetic study of 24 cases, emphasizing unusual and diverse histologic features. Boland JM, Colby TV, Folpe AL. Am J Surg Pathol. 2012 Sep;36(9):1395-403. PMID: 22895273