CASE REPORT
Atypical spindle cell lipomatous tumour presenting as a large retroperitoneal mass – a case report and review of the literature
 
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1
Department of Pathology, University Hospital of the Canary Islands, University of La Laguna, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
 
2
Department of General and Digestive Surgery, University Hospital of the Canary Islands, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
 
 
Submission date: 2022-09-20
 
 
Final revision date: 2022-12-01
 
 
Acceptance date: 2022-12-07
 
 
Publication date: 2023-03-12
 
 
Corresponding author
Martyna Aleksandra Krupinska
Martyna Aleksandra Krupinska, MD Department of Pathology University Hospital of the Canary Islands Ofra, s/n. La Cuesta 38320 San Cristóbal de La Laguna Santa Cruz de Tenerife, Spai
 
 
Pol J Pathol 2022;73(4):364-370
 
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ABSTRACT
Atypical spindle cell lipomatous tumour (ASCLT) is a benign neoplasm that presents a variable proportion of atypical spindle and adipocytic cells, frequently expressing CD34, and embedded in myxoid or collagenous matrix. An important feature is a constant lack of either MDM2 or CDK4 amplification. It typically arises in the extremities. The retroperitoneum is a rare site of involvement. We report a case of a retroperitoneal ASCLT in a 62-year-old male. A differential diagnosis of ASCLT from the other mesenchymal, spindle-cell, and lipomatous tumours is crucial for optimal treatment and significantly influences the prognosis. A diagnosis should be warranted by the immunohistochemistry and molecular findings.
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eISSN:2084-9869
ISSN:1233-9687
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