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Soft Tissue Pathology

A Memorable Mistake and What I Learnt from It

IAP Slide Seminar Series

Soft Tissue Pathology – A Memorable Mistake and What I Learnt from It is made up of 12 cases to be presented as a slide seminar at the 25th International Congress of the IAP, Brisbane, 2004.

Convenors: Richard A. Scolyer and Andrew L. Folpe

Series editor: Robin A. Cooke

CASE 1: A 50-year-old male presented with a slowly growing mass measuring 4 x 3 x 7 cm, present for nine years, located in the extensor muscles of the right forearm. An ultrasound suggested that the tumour had infiltrating borders. A core biopsy was interpreted as myxoid liposarcoma.
Phil Allen

CASE 2: A 40-year-old female presented with a 5 cm forearm mass. An incisional biopsy was performed.
Andrew L. Folpe

CASE 3: A 70-year-old male who was a heavy smoker presented to an ENT surgeon with vague throat symptoms. On examination a 15 mm superficial left cervical lymph node was identified clinically. FNA of this lesion showed cells suspicious for malignancy. No mucosal lesions were identified on panendoscopy. The neck lesion was excised and submitted for histology.
Colin Ades

CASE 4: A 16-year-old boy presented with a mass in the left foot. After a biopsy, amputation of the left foot first and second rays was performed. In the excision specimen, there was a tan-yellow tumour with pushing borders, replacing the plantar tendons of the big and second toes. The tumour measured 25 x 20 mm with a thickness of 10 mm.
John K.C. Chan

CASE 5: An 80-year-old man was found on imaging to have a large solitary highly vascularized mass in his liver. No other anatomic structures were affected according to the surgeon and radiologist. An H&E section and a CD34 stain from a needle biopsy of the liver lesion were received from an outside hospital. A keratin stain was reported as negative.
Elizabeth Montgomery

CASE 6: A 53-year-old male presented with a two month history of right hip pain. On examination a large mass was found in the right groin.
Gelareh Farshid

CASE 7: A 46-year-old Japanese female was found to have an abdominal mass by an echogram in an annual examination. The mass, which was not associated with the pancreas, was excised.
Masaharu Fukunaga

CASE 8: This 46-year-old female of European extraction presented with a locally advanced tumour of the right ankle.
Christine Hemmings

CASE 9: A 60-year-old female with symptomatic end stage rheumatoid arthritis underwent right total knee joint replacement in September 1998. At surgery, a suspicious mass lesion was identified in the synovial tissues of the knee joint.
Pennie Symmans

CASE 10: A 74-year-old female presented with a tumour on the right inner ankle 2.5 cm in diameter. The tumour was an unencapsulated but sharply circumscribed nodule, which had a yellow-white color with reddish-brown spots with small cysts up to 2 mm filled with blood. Grossly the tumour was not attached to any peripheral nerve. No other tumour was found in the patient.
Michal Michal

CASE 11: A 5-year-old boy presented with a rapidly growing mass in the left thigh. Excisional biopsy was performed in August, 1998.
Antonio G. Nascimento

CASE 12: A 23-month-old boy presented with an ill-defined mass in the subcutis of the left cheek. A local excision was performed. The mass recurred nine months later and was re-excised.
Richard Scolyer

Authors: Richard Scolyer & Andrew L. Folpe

Media: Book, CD

Product code: SA26

ISBN: 1920696687