{"id":16665,"date":"2020-04-29T05:22:52","date_gmt":"2020-04-29T08:22:52","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-del-liposarcoma\/"},"modified":"2020-05-03T10:30:14","modified_gmt":"2020-05-03T13:30:14","slug":"liposarcoma-pathology","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liposarcoma\/","title":{"rendered":"Liposarcoma pathology"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liposarcoma\/#Histologia-de-liposarcoma\" >Liposarcoma histology<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liposarcoma\/#Patologia-del-liposarcoma\" >Liposarcoma pathology<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liposarcoma\/#Estudios-especiales-para-liposarcoma\" >Special studies for liposarcoma.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-liposarcoma\/#Diagnostico-diferencial-de-liposarcoma\" >Differential diagnosis of liposarcoma<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>Liposarcoma is the most common. <span class=\"term\" data-term-id=\"176\">evil one<\/span> <span class=\"term\" data-term-id=\"1183\">Soft fabric<\/span> <span class=\"term\" data-term-id=\"1665\">sarcoma<\/span>. These are typically deep tumors found on the skin \/<span class=\"term\" data-term-id=\"1282\">subcutis<\/span> by direct invasion. Rare <span class=\"term\" data-term-id=\"52\">dermal<\/span> and <span class=\"term\" data-term-id=\"900\">subcutaneous<\/span> Tumors have also been described.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-liposarcoma\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histology<\/span> liposarcoma<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Liposarcoma are fat-producing tumors that have a spectrum of <span class=\"term\" data-term-id=\"1663\">morphologies<\/span>.<\/p>\n<p>Well-<span class=\"term\" data-term-id=\"1308\">differentiated<\/span> Liposarcoma shows lipoma-like characteristics, with a normal-looking mixture <span class=\"term\" data-term-id=\"549\"><span class=\"term\" data-term-id=\"1904\">adipocytes<\/span><\/span>  interspersed with <span class=\"term\" data-term-id=\"1395\">atypical<\/span> adipocytes (Figures 1, 2). Atypical cells are <span class=\"term\" data-term-id=\"861\">hyperchromatic<\/span>, <span class=\"term\" data-term-id=\"1540\">pleomorphic<\/span> and irregular In addition, lipoblasts are commonly found, they have a multivacuolate <span class=\"term\" data-term-id=\"838\">cytoplasm<\/span> in which the vacuoles dent the atypical <span class=\"term\" data-term-id=\"728\">core<\/span> (Figures 3, 4). There is a well-differentiated and less common liposarcoma, which includes a sclerosing variant (Figure 5).<\/p>\n<p>Pleomorphic liposarcoma can be difficult to recognize as having lipomatous origin (Figures 6, 7). These are made up of frankly atypical mesenchymal cells, often with numerous <span class=\"term\" data-term-id=\"1535\">mitosis<\/span> and <span class=\"term\" data-term-id=\"403\">necrosis<\/span>.<\/p>\n<p>Dedifferentiated liposarcoma is defined as a well-differentiated liposarcoma with dedifferentiation in a sarcoma with a different <span class=\"term\" data-term-id=\"187\">morphology<\/span>. In these cases, finding the well-differentiated areas is essential for the diagnosis.<\/p>\n<p><span class=\"term\" data-term-id=\"191\">Myxoid<\/span> liposarcoma is a very characteristic <span class=\"term\" data-term-id=\"289\">tumor<\/span> composed of abundant <span class=\"term\" data-term-id=\"1636\">mucin<\/span> <span class=\"term\" data-term-id=\"370\">statement<\/span> and a <span class=\"term\" data-term-id=\"891\">plexiform<\/span> <span class=\"term\" data-term-id=\"756\">capillary<\/span> net.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-del-liposarcoma\"><\/span>Liposarcoma pathology<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9340359-6124293' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9340359.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8152295-3185698' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8152295.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2789659-5894979' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2789659.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-fig4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7606659-5160851' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-fig4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7606659.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-fig5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9394786-5284867' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-fig5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9394786.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 5<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-fig6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6031800-2145199' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-fig6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6031800.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 6<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='liposarcoma-fig7__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7097497-4407817' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/liposarcoma-fig7__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7097497.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 7<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estudios-especiales-para-liposarcoma\"><\/span>Special studies for liposarcoma.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"1421\">Immunohistochemistry<\/span> for MDM2 and, to a lesser extent, CDK2 are positive in liposarcoma. <span class=\"term\" data-term-id=\"1851\">Molecular<\/span> techniques (generally <span class=\"term\" data-term-id=\"1237\">FISH<\/span> or <span class=\"term\" data-term-id=\"942\">PCR<\/span>) are also widely used.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-liposarcoma\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Differential diagnosis<\/span> liposarcoma<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lipoma: Well-differentiated liposarcoma can be extremely mild. Lipoblast, mitosis, and helper studies for MDM2 and CDK2 can be very helpful. It must be remembered that <span class=\"term\" data-term-id=\"949\">primary<\/span> Superficial dermal \/ subcutaneous liposarcoma is very rare.<\/p>\n<p>Silicone: deposition of silicone, from a breast implant or soft tissue <span class=\"term\" data-term-id=\"826\">increase<\/span>shows <span class=\"term\" data-term-id=\"1339\">vacuolated<\/span> <span class=\"term\" data-term-id=\"858\">histiocytes<\/span> which mimic lipoblasts.<\/p>\n<p>Other <span class=\"term\" data-term-id=\"1666\">sarcomas<\/span> - Identification of fats <span class=\"term\" data-term-id=\"1307\">differentiation<\/span> It is useful to distinguish liposarcoma from other sarcomas. Extensive cuts of undifferentiated sarcomas are recommended to exclude <span class=\"term\" data-term-id=\"489\">focal<\/span> areas of lipomatous differentiation. Molecular studies of MDM2 are useful diagnostic complements.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>El liposarcoma es el m\u00e1s com\u00fan. maligno Tejido suave sarcoma. Estos son t\u00edpicamente tumores profundos que se encuentran en la piel \/subcutis por invasi\u00f3n directa. Raro d\u00e9rmico y subcut\u00e1neo Tambi\u00e9n&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[205],"class_list":["post-16665","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16665","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=16665"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16665\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=16665"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=16665"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=16665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}