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25 Cards in this Set
- Front
- Back
MC soft tissue tumor
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lipoma
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lipoma:
-site? |
subcutis of trunk+proximal extremities
(makes sense: you get fat in your trunk [stomach, boobs] + prox ext [thighs]) |
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resembles mature fat?
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lipoma (vs liposarcoma)
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resembles fetal fat?
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liposarcoma (vs lipoma)
hallmark of liposaracoma= lipoblast (mimics fetal fat cell) |
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reactive pseudo-sarcomatous proliferation
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nodular fasciiitis
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clinnically alarming b/c rapid growth
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nodular fasciitis (benign0
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nodular fasciitis:
sote? |
subcutaneous or intramuscular nodule
-in forearm, chest, back |
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myositis ossificans:
-def? -site? |
ossifying benign fibrous lesion
site=prox ext: intramuscular=pretty unique (muscle="myo"sitis) (or subcutaneous) |
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superficial fibromatoses
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1.palmar: Dupuytren's contracture
2.plantar 3.penile: Peyronie's Dz |
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deep seated fibromatosis
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AKA desmoid
extraabdominal: trunk+prox ext abdominal: ant abdom wall after pregnancy intraabdominal: mesentary or pelvis, assoc w/Gardner's syndrome= FAP+desmoid |
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desmoid?
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=deep seated fibromatosis
(extraabdominal, abdominal, intra-ab) |
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"herringbone pattern"
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fibrosarcoma
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Malignant Fibrous Histiocytoma
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"Mother Fucking Ho"
-aggressive adult sarcoma, but deceptively circumscribed |
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MC soft tissue sarcoma of childhood and adolescents
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rhabdomyosarcoma
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tadpole cells
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=rhabdomyoblast
(rhabdomyosarcoma) |
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"strap cells"
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=rhabdomyoblast
(rhabdomyosarcoma) |
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rhabdomyosarcoma:
types? |
=SkM
1.embryonal=MC age: <10 y/o site: *(face) orbit, nasal cavity, parotid *(groin) prostate, testicle Type: sarcoma botryoides: *grape *Path: cambium layer (submucosal hypercellular zone of tumor cells) 2. alveolar age: adolescents site: deep muscles of extremities |
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grape-like appearance
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sarcoma botryoides
(type of embryonal rhabdomyosarcoma) |
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submucosal hypercellular zone of tumor cells
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=cambium layer (seen in sarcoma botryoides, which is a subtype of embryonic rhabdomyosarcoma)
EXAM: prognosis=best for embryonal (vs. alveolar) |
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EXAM-what has better prognosis:
embryonic rhabdomyosarcoma or alveolar? |
embryonic
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leiomyoma:
site? |
arise from arrector pili muscle (superficial leiomyomas)
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leiomyosarcoma:
site? |
retroperitoneum and extremities: skin and deep soft tissues
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synovial sarcoma
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-near large joints, esp KNEE
-not of synovial cell origin -cytokeratin + types: monophasic spindle cell variant> biphasic (gland like) genetics: t(X:18) |
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cytokeratin +
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synovial sarcoma
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t(X; 18)
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synovial sarcoma
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