Page 37 - Delaware Medical Journal - May/June 2019
P. 37
CASE REPORT
complicating the differential diagnosis
and differentiation from malignant
tumors. Prior publication lists low-grade liposarcoma among the potential differential diagnosis candidates.1 However, based on the presented case, the differential diagnosis may require further expansion, with inclusion of invasive or aggressive-appearing neoplasms.
CONTRIBUTING AUTHORS
■ C. ERIC GULLBRAND, DO is a fourth-year diagnostic radiology resident at Christiana Care Health System. He will be pursuing specialization in musculoskeletal imaging.
■ MOHAMMED M. ALI, MD is an interventional radiologist at Christiana Care Health System.
■ ERIC MONTGOMERY, MD is a pathologist at Christiana Care Health System. ■ GREGORYTIESI,MDisanoncologicsurgeonatChristianaCareHealthSystem.
■ MANDIP GAKHAL, MD is a diagnostic radiologist at Christiana Care Health System.
demonstrated local recurrence, one of which had positive resection margins at primary excision.1 Our patient underwent successful surgical resection with negative histologic margins, with no evidence of tumor previously reported imaging characteristics, but also the previously unreported additional feature of transfascial spread, further contributing new information to the spectrum of potential imaging appearances
the soft tissues remains a challenge, and ultimately histologic and cytologic analysis is required. However, AFST may be suggested based on patient demographics, tumor
AFSTs are benign tumors and previous cases have shown excellent prognosis
with infrequent local recurrence. In the original case series by Mariño-Enríquez and
REFERENCES
1. Mariño-Enríquez A, Fletcher CDM. Angiofibroma of Soft Tissue. The
American Journal of Surgical Pathology. 2012; 36(4):500-508.
2. Bekers EM, Groenen PJ, Verdijk MA, et al. Soft tissue angiofibroma: Clinicopathologic, immunohistochemical and molecular analysis of 14 cases. Genes, Chromosomes and Cancer. 2017; 56(10):750-757.
3. Lee JJ, Bredella MA, Springfield DS, Nielsen GP. Soft tissue angiofibroma: a case report. Skeletal Radiology. 2013; 43(3):403-407.
4. Hashino Y, Nishio J, Maeyama A, Aoki M, Nabeshima K, Yamamoto T. Intraarticular angiofibroma of soft tissue of the knee: A case report. Molecular and Clinical Oncology. 2017.
5. Edgar MA, Lauer SR, Bridge JA, Rizzo M. Soft tissue angiofibroma: report of 2 cases of a recently described tumor. Human Pathology. 2013; 44(3):438-441.
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