PMID- 36439417 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221129 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 12 DP - 2022 TI - Case report: Atypical spindle cell/pleomorphic lipomatous tumor masquerading as a myxoid liposarcoma or intramuscular myxoma. PG - 1033114 LID - 10.3389/fonc.2022.1033114 [doi] LID - 1033114 AB - Atypical spindle cell/pleomorphic lipomatous tumors (ASPLTs) were recently categorized as benign lipomatous tumors. However, accurate and complete preoperative diagnosis of ASPLTs may be difficult. Furthermore, diagnosis based on magnetic resonance imaging (MRI) findings is uncertain because of the varying ratios of the fat component within the tumor. Here, we report a case of ASPLT masquerading as a myxoid tumor. Although MRI findings were consistent with a myxoid liposarcoma, needle biopsy findings suggested a myxoma, and we performed marginal resection. Histopathological findings revealed infiltrating spindle cells with atypia. In addition, immunohistochemistry (IHC) showed positive staining for CD34 and heterogeneous retinoblastoma deficiency, and fluorescence in situ hybridization (FISH) showed no amplification of mouse double minute 2 homolog and no rearrangement of FUS or EWSR1. When MRI and histopathological findings suggest a myxoid tumor, IHC and FISH should be considered and performed for a precise and accurate diagnosis. CI - Copyright (c) 2022 Ichikawa, Kawasaki, Imada, Kanno, Taniguchi, Ashizawa and Haro. FAU - Ichikawa, Jiro AU - Ichikawa J AD - Department of Orthopaedic Surgery, Interdisciplinary Graduate School of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan. FAU - Kawasaki, Tomonori AU - Kawasaki T AD - Department of Pathology, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan. FAU - Imada, Hiroki AU - Imada H AD - Department of Pathology, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan. FAU - Kanno, Satoshi AU - Kanno S AD - Department of Pathology, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan. FAU - Taniguchi, Naofumi AU - Taniguchi N AD - Department of Orthopaedic Surgery, Interdisciplinary Graduate School of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan. FAU - Ashizawa, Tomoyuki AU - Ashizawa T AD - Department of Orthopaedic Surgery, Interdisciplinary Graduate School of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan. FAU - Haro, Hirotaka AU - Haro H AD - Department of Orthopaedic Surgery, Interdisciplinary Graduate School of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan. LA - eng PT - Case Reports DEP - 20221110 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC9684626 OTO - NOTNLM OT - atypical spindle cell/pleomorphic lipomatous tumor OT - differential diagnosis OT - fluorescence in situ hybridization OT - histopathology OT - immunohistochemistry OT - magnetic resonance imaging COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/11/29 06:00 MHDA- 2022/11/29 06:01 PMCR- 2022/01/01 CRDT- 2022/11/28 04:37 PHST- 2022/08/31 00:00 [received] PHST- 2022/10/17 00:00 [accepted] PHST- 2022/11/28 04:37 [entrez] PHST- 2022/11/29 06:00 [pubmed] PHST- 2022/11/29 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2022.1033114 [doi] PST - epublish SO - Front Oncol. 2022 Nov 10;12:1033114. doi: 10.3389/fonc.2022.1033114. eCollection 2022.