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MIMICS OF SOFT-TISSUE SARCOMAIN: BENIGH LESIONS

INTRODUCTION

EXTRA-ABDOMINAL DESMOID TUMOR

  • Fibroblasts - fibrocytes, abundant collagen
  • M > F, any age but more frequent up to 40 years
  • Limbs, trunk, head and neck, shoulder, buttock, posterior thigh, popliteal fossa, sura, arm, forearm - deep soft tissues
  • Grows by infiltration,
  • Grows progressively but not rapid
  • Treatment surgical

Click on image(s) to view JPEG image(s).
 

Patient 11
30-year-old female with surgically proven aggressive desmoid fibromatosis in left proximal thigh.


Axial T1W MR image reveals low signal intensity mass in proximal left thigh. Similar low signal intensity was noted on T2W MR images. Signal intensity of desmoid tumors varies with degree of cellularity and amounts of fibrous and collangenous tissue. High signal on T2W image does not exclude desmoid fibromatoses.

1.

Patient 12
18-year-old male with surgically proven desmoid fibromatosis in distal thigh.


Sagittal T1W MR image reveals intermediate signal intensity mass in distal thigh with interspersed areas of low signal intensity.

2.
Sagittal FSE T2W MR image reveals heterogenous mass with central areas of low signal intensity secondary to relative acelluraity at these foci as histologically documented.
3.
Representative photomicrograph from periphery of lesion reveals cellular component of lesion. (Original magnification, X120 H-E stain)
4.
Representative photomicrograph from central portion of lesion reveals relative acellularity. This corresponds to the low signal intensity noted on the MR images. (Original magnification, X120 H-E stain)

 

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Last updated; September 2003
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