TAILIEUCHUNG - Arnaoutoglou et al. Journal of Orthopaedic Surgery and Research 2010, 5:49

Arnaoutoglou et al. Journal of Orthopaedic Surgery and Research 2010, 5:49 CASE REPORT Open Access Low grade fibromyxoid sarcoma: a case report and review of the literature Christina Arnaoutoglou1*†, Marios G Lykissas1†, Ioannis D Gelalis1†, Anna Batistatou2†, Anna Goussia2†, Michalis Doukas2†, Theodoros A Xenakis1† Abstract Low grade fibromyxoid sarcoma (LGFMS) is a distinctive variant of fibrosarcoma with a high metastasizing potential and sometimes long interval between tumour presentation and metastasis. We present the case of a 50-year-old male who developed a large mass in the posterior aspect of his lower left thigh. The tumor was excised with preservation of the neurovascular structures surrounded by. | Arnaoutoglou et al. Journal of Orthopaedic Surgery and Research 2010 5 49 http content 5 1 49 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH CASE REPORT Open Access Low grade fibromyxoid sarcoma a case report and review of the literature r I I I 1 A I r I I r I I 1 f It ỉ r I fs r I I I r r - S r 1 f I fs I r l A í L l lỉf1 D ỉf - - r I I2 f A I I r r I s 2 f Christina Arnaoutoglou Marios G LyKissas loannis D Gelalis Anna Dansiaiou Anna Goussia Michalis DouKas2f Theodoros A XenaKis1f Abstract Low grade fibromyxoid sarcoma LGFMS is a distinctive variant of fibrosarcoma with a high metastasizing potential and sometimes long interval between tumour presentation and metastasis. We present the case of a 50-year-old male who developed a large mass in the posterior aspect of his lower left thigh. The tumor was excised with preservation of the neurovascular structures surrounded by the mass. The tumour measured 11 X 10 X 9 cm and on pathology evaluation was diagnosed as LGFMS. Due to the relative rarity of LGFMS there is no dedicated protocol regarding follow-up recommendations. In order to early diagnose possible metastasis it is important to inform the patients about the longstanding metastatic potential of the disease. Background Low grade fibromyxoid sarcoma LGFMS is a distinctive variant of fibrosarcoma. According to Evans 1 who first described this pathologic entity LGFMS presents a rare soft-tissue tumour with a high metastasizing potential despite the benign histologic appearance. The sometimes long interval between tumour presentation and metastasis poses problems for the pathologists radiologists and surgeons with longstanding follow-up being the fundamental principle for tumour management. Although it is a well-described entity it is speculated that many cases are not diagnosed as LGFMS so it is still difficult to estimate its exact incidence. These tumours usually occur in the proximal extremities and trunk 2 . Sporadically they may be found in

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