scholarly journals Lipoma of the Thumb: Spindle Cell Subtype

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Johnny El Rayes ◽  
Roula Bou Sader ◽  
Elie Saliba
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Clinical Examination ◽  
Spindle Cell ◽  
Excisional Biopsy ◽  
Spindle Cell Lipoma ◽  
Cell Subtype ◽  
Soft Tissue Swelling ◽  
Palmar Aspect

We report hereby the case of a 61-year-old man who presented with a soft-tissue swelling on the palmar aspect of the thumb. A detailed clinical examination followed by ultrasonography and excisional biopsy confirmed a spindle cell lipoma. Lipomas are rare in the hand and exceptional in the fingers, and we report, to our knowledge, the first spindle cell lipoma in the thumb to help in the differential diagnosis of a similar swelling.

scholarly journals Dendritic Fibromyxolipoma of the Pyriform Sinus: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Abdulrahim AlAbdulsalam ◽  
Maha Arafah
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Spindle Cell ◽  
Pyriform Sinus ◽  
Vascular Pattern ◽  
Review Of The Literature ◽  
Spindle Cell Lipoma ◽  
Soft Tissue Neoplasm ◽  
Cytoplasmic Processes ◽  
Histopathologic Features

Dendritic fibromyxolipoma is a rare and distinctive soft tissue neoplasm that is considered by many authors as a variant of spindle cell lipoma and characterized by the presence of dendritic cytoplasmic processes, plexiform vascular pattern, and keloidal collagen. It has never been reported in the larynx and hypopharynx. Its rarity and the potential to mistake it as a more clinically aggressive myxoid soft tissue neoplasm highlight the importance of its recognition. Here, a case of a dendritic fibromyxolipoma of the pyriform sinus in a 38-year-old male who presented with dysphagia, change of voice, and stridor is reported. A review of the literature, including histopathologic features and differential diagnosis, is also included.

Lipoma arborescens – Uncommon Diagnosis for Joint Swelling: Case Report and Review of the Literature

2019 ◽  
Vol 158 (06) ◽  
pp. 618-624
Author(s):  
Ralf Theermann ◽  
Malte Ohlmeier ◽  
Carl Heinz Hartwig ◽  
Matthias Wolff ◽  
Veit Krenn ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Knee Joint ◽  
Spindle Cell ◽  
Differential Diagnoses ◽  
Tumour Resection ◽  
Fish Analysis ◽  
Lipoma Arborescens ◽  
Spindle Cell Lipoma ◽  
Soft Tissue Swelling

Abstract Introduction Soft tissue swelling of the knee joint can be caused by many diseases. Lipomas are one of the most reasonable differential diagnoses we have to consider. Therefore, we now present the uncommon case of a Lipoma arborescens (LA) and differentiate it from a quite similar manifesting spindle cell lipoma as follows. Case Report A 49-years old patient reports about progressive knee pain for four years and observes an increasing joint swelling. This swelling is a soft tissue, shiftable tumour, not painful. The magnetic resonance imaging (MRI) with contrast agent brings the diagnosis of an advanced osteoarthritis of the knee joint and classifies the tumour as LA. Subsequently, we treat the osteoarthritis by implanting a total knee arthroplasty with simultaneous intraoperative tumour resection performed as total synovectomy. The histopathological processing confirms the clinically and radiologically made diagnosis of LA. Summary Lipoma arborescens presents an uncommon subgroup of Lipomas, which is characterized by a slowly progressive increasing soft tissue swelling, especially around bigger human joints. Due to its intraarticular location, the LA might become clinically relevant when it reaches a certain tumour size. Looking at the diagnostics, sonography, MRI and especially the histopathological processing give the crucial results. Final proof can only be made by histopathological examination. Additionally, we have some differential diagnoses to exclude. Under these we predominantly find the spindle cell lipoma, synovial haemagioma, vascular synovial malformations and tenosynovial giant-cell tumour. Furthermore, an atypical lipomatous tumour should be excluded by FISH-analysis via determining the MDM2-Genamplification.

scholarly journals Hydatid cyst of the cranial vault

2009 ◽  
Vol 3 (10) ◽  
pp. 807-810 ◽  
Author(s):  
Faten Limaiem ◽  
Selma Bellil ◽  
Khadija Bellil ◽  
Ines Chelly ◽  
Amina Mekni ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Intracranial Pressure ◽  
Soft Tissue ◽  
Literature Review ◽  
Hydatid Cyst ◽  
Osteolytic Lesion ◽  
Cranial Vault ◽  
Raised Intracranial Pressure ◽  
Hydatid Cysts ◽  
Soft Tissue Swelling

Only 0.5 to 2% of hydatid cysts are localized in the skeleton and of these, 3 to 4% are found in the skull. In this paper, the authors report a case of primary hydatidosis involving the cranial vault revealed by a bulging mass of the forehead and symptoms of raised intracranial pressure that occurred in a 22-year-old woman who came from a rural area. Through this case and literature review, the authors analyse the epidemiological, clinical and radiological aspects of skull hydatidosis. They conclude that hydatid cyst should be considered in the differential diagnosis of any soft tissue swelling or osteolytic lesion in the scalp of patients living in endemic areas.

Spindle Cell Lipoma of the Foot: A Case Report and Literature Review

1995 ◽  
Vol 16 (4) ◽  
pp. 220-226 ◽  
Author(s):  
Kevin R. Math ◽  
Helene Pavlov ◽  
Edward DiCarlo ◽  
Walther H. O. Bohne
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Spindle Cell ◽  
Soft Tissue Tumors ◽  
Imaging Features ◽  
Spindle Cell Lipoma ◽  
Imaging Evaluation ◽  
Presumptive Diagnosis ◽  
Pleomorphic Lipoma ◽  
Atypical Lipoma

Lipomas are among the most commonly encountered soft tissue tumors in clinical practice, though they are rare in the foot. Although a presumptive diagnosis is typically made clinically, those tumors with atypical clinical features may require radiological consultation. Difficulty arises when radiographic features are not typical of lipoma. We present a fatty soft tissue tumor of the foot with nonadipose elements on magnetic resonance imaging evaluation. Differentiation of lipoma variants (e.g., spindle cell lipoma, atypical lipoma, pleomorphic lipoma, lipoblastoma, angiolipoma) from liposarcoma based on imaging features is not possible, necessitating surgical resection for definitive histological diagnosis.

Joint pain

2018 ◽  
Author(s):  
Pippa Watson
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Joint Pain ◽  
Inflammatory Arthritis ◽  
Morning Stiffness ◽  
Early Morning ◽  
Joint Line ◽  
Joint Effusion ◽  
Joint Tenderness ◽  
Soft Tissue Swelling

When a patient complains of pain confined to a joint or joints, they are said to have arthralgia. If, in addition, there is swelling of the joint, tenderness of the joint line to palpation, and limitation of movement, the patient is said to have an arthritis. It is important to establish if an arthritis is inflammatory or non-inflammatory, as this affects the differential diagnosis. Soft tissue swelling of the joint, the presence of a joint effusion, increased temperature of the joint, erythema of overlying skin, and early morning stiffness of at least 30 minutes duration are signs of an inflammatory arthritis.

scholarly journals Left Supraclavicular Spindle Cell Lipoma

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Oladejo Olaleye ◽  
Bertram Fu ◽  
Ram Moorthy ◽  
Charles Lawson ◽  
Myles Black ◽  
...  
Keyword(s):  
Spindle Cell ◽  
Excisional Biopsy ◽  
Neurological Deficits ◽  
Excision Biopsy ◽  
Low Grade ◽  
Spindle Cell Lipoma ◽  
Rare Presentation ◽  
Spindle Cells ◽  
Immuno Histochemistry ◽  
Rare Benign Tumour

Background. Spindle cell lipoma (SCL) is a benign lipomatous tumour, typically occurring in the posterior neck, shoulder or upper back of elderly males. They compose of fat, CD34 positive spindle cells, and ropey collagen on a myxoid matrix. This case highlights a rare presentation of SCL and the need for pre-operative diagnosis.Case Report. A 63-year-old gentleman presented with a pre-existing left supraclavicular mass that had recently increased in size. FNA and CT Scans were performed and results discussed in the mutidisciplinary team meeting. Excisional biopsy was recommended.Radiology. CT neck showed a left supraclavicular mass of fatty density with fine internal septations. A low-grade liposarcoma could not be excluded.Histopathology. FNA was indeterminate. Histology of specimen showed bland spindle cells with no evidence of malignancy. Immuno-histochemistry showed SCL with CD34 positivity and negative staining on CDK4 and p16.Management. Excision biopsy of the mass was performed which was technically difficult as the mass invaginated around the brachial plexus. The patient recovered well post-operatively with no neurological deficits.Conclusion. Spindle cell lipoma is a rare benign tumour and a pre-operative diagnosis based on the clinical context, imaging and immuno-histochemistry is crucial to management.

scholarly journals Nodular Mucinosis of the Breast in a Male: Reassessment of Diagnostic Criteria and Proposal for Its Classification as a Soft Tissue Tumor in the Myofibroblastoma and Spindle Cell Lipoma Spectrum

2014 ◽  
Vol 1 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Maria Teresa Fernández-Figueras ◽  
Dmitry V. Kazakov ◽  
Raquel López Martos ◽  
Isabel Ojanguren ◽  
Jordi Vila ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Diagnostic Criteria ◽  
Soft Tissue Tumor ◽  
Spindle Cell ◽  
Spindle Cell Lipoma ◽  
Tissue Tumor

scholarly journals Lipomas of Larynx: The Rare Entities

2012 ◽  
Vol 2 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Somanath B Megalamani ◽  
Ravindra Gadag ◽  
A Raza ◽  
A Satish
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Spindle Cell ◽  
Anterior Commissure ◽  
The Body ◽  
Spindle Cell Lipoma ◽  
Tissue Tumor

ABSTRACT Lipoma is the commonest soft tissue tumor arising anywhere in the body, but its occurrence in the larynx is relatively rare. We present a rarest case of lipoma with cartilaginous metaplasia arising from the larynx just above the anterior commissure. The second case report is about a large spindle cell lipoma of larynx presented with stridor. How to cite this article Megalamani SB, Gadag R, Raza A, Satish A. Lipomas of Larynx: The Rare Entities. Int J Phonosurg Laryngol 2012;2(2):79-81.

The incidence and relevance of Non-Fatty components in trunk and extremity lipomatous soft tissue masses

2021 ◽  
pp. 20201403
Author(s):  
Rupert Berkeley ◽  
Odinakachukwu Okereke ◽  
Karan Malhotra ◽  
Asif Saifuddin
Keyword(s):  
Soft Tissue ◽  
Spindle Cell ◽  
Single Case ◽  
Myxoid Liposarcoma ◽  
Histological Diagnosis ◽  
Soft Tissue Tumour ◽  
Spindle Cell Lipoma ◽  
Tissue Tumour ◽  
Soft Tissue Masses ◽  
Final Histological Diagnosis

Objectives: To determine the incidence and diagnostic relevance of non-fatty ‘solid appearing’ components within lipomatous tumours of the trunk and extremity. Methods and materials: Retrospective review of patients referred to a specialist musculoskeletal oncology service over a 12 month period with a lipomatous trunk or extremity soft tissue tumour. The presence and morphology (solitary/multifocal; homogeneous/heterogeneous; well-defined/poorly-defined) of non-fatty components was recorded based on MRI, and compared with the final histological diagnosis. Results: 213 patients with 217 lipomatous tumours were included, 119 (55.9%) males and 94 (44.1%) females with mean age of 54.6 years (range 7–93 years). Seventy-seven (35.5%) lesions arose superficial to the fascia and 139 (64.1%) deep, while a single case involved both compartments. Mean maximal tumour dimension was 94.9 mm (range 12–288 mm). Non-fatty ‘solid appearing’ components were identified in 28 (12.9%) cases, of which eight were solitary and 20 were multifocal, six had homogeneous SI and 22 had heterogeneous SI, and eight had well-defined margins while 20 had poorly-defined margins. Histological diagnosis was available in 20 of the tumours containing non-fatty components, 16 of which were benign, two intermediate grade and two malignant (a dedifferentiated liposarcoma and a myxoid liposarcoma). The commonest diagnosis was spindle cell lipoma, which accounted for 10 of 20 (50%) cases with confirmed histology. Conclusions: Non-fatty components are identified in ~13% of trunk and extremity lipomatous tumours. The majority of such lesions are benign lipoma variants, most commonly spindle cell lipoma. Advances in knowledge: Solid non-fatty components are identified in approximately 13% of lipomatous tumours referred to a specialist sarcoma service. Despite the concern that these may represent dedifferentiated liposarcomas, high-grade tumours were seen in only two cases, the commonest diagnosis being a spindle cell lipoma.

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