They rarely
invade bone and only about 5% of the tumors develop nodal metastases
during the course of the disease. Nodal metastases is more prevalent
in epitheloid sarcoma, synovial sarcoma, rhabdomyosarcoma and clear
cell sarcoma. Approximately 5% to 10% of patients may have disseminated
disease at presentation and the lung is the most common site of
metastatic disease. (5)
75 year-old
man with malignant fibrous histiocytoma of left thigh. Axial T2-weighted
fast spin-echo (FSE) MR image (3000/85 [TR/effective TE]) reveals
a large tumor in the thigh which abuts but does not invade the underlying
femoral cortex.
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