A case report on atypical spindle cell lipomatous tumor: A rare entity. (August 2022)

• Record Type: Journal Article
• Authors: Bhattarai, Himal Bikram; Chhantyal, Sangit; Dahal, Krishna; Shah, Sangam; Yadav, Saroj Kumar; Yadav, Binita Kumari; Subedi, Ayusha; Baniya, Santosh; Singh, Prabesh Bikram; Priya, Anshu
• Is Part Of: Annals of medicine and surgery. Volume 80(2022)
• Publication Date: 2022-08
• Subjects: Spindle -- Lipomatous -- Tumor; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.104205
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: Atypical spindle cell lipomatous tumor (ASPLT), a separate entity for the group of benign/low grade adipocytic neoplasm that is characterized by adipocyte adequacy and the presence of lipoblast-like cells and spindle cells at varying degrees. Case presentation: Here, we report a rare case of 60 years old male with atypical spindle cell lipomatous tumor in the anterior abdominal wall. Discussion: Histopathology is the gold standard for establishing the diagnosis and grade of soft tissue tumor and consistent radiology-pathology correlation is essential to avoid any diagnostic pitfalls [1]. Ultrasound is preferred as an initial investigation for superficially located lesions. Conclusion: ASPLT show a wide variety of microscopic features, and differential diagnosis is important and difficult. Recognition of morphologic clues and immunohistochemistry/molecular tests to confirm the diagnosis. Highlights: Histopathology is the gold standard for establishing the diagnosis and grade of soft tissue tumor. Ultrasound is preferred as an initial investigation for superficially located lesions. Atypical spindle cell lipomatous tumor (ASPLT), a separate entity for the group of benign/low grade adipocytic neoplasm.