graft interposition on Lt. SFA and SFV using 8mm ringed Goretex artificial graft
Soft tissue, hip, left, excision:
– Mixed liposarcoma, recurrent
(s/p wide excision and chemotherapy since 2018;18-20057, S21-8273)
with 1) "Mass 1", "mass 2" and "mass 3": myxoid liposarcoma
2) Size: up to 5.0cm
3) Resect in margin
- lateral: involved by tumor cells
- "margin3": involved by tumor cells
- "margin", "margin2", "artery", "vein": not involved by tumor cells
4) "mass4": skeletal muscle, Negative for malignancy
1. Interval decrease in the size of nodular lesion at the right external iliac area (2.5cm -> 1.9cm).
2. Interval decrease in the size of nodular lesion at the right inguinal area (2.0cm-> 0.8cm)
3. Interval increase in the size of nodular lesion between the biceps femoris muscle and sciatic nerve (1.7cm -> 2.5cm).
4. Interval increase in the size of nodular lesion in the vastus lateralis muscle (0.4cm->0.8cm).
▣ 결론 및 진단
(954072)
Soft tissue, thigh, left, "mass 1" and "mass 2", excision:
- Myxoid liposarcoma, recurrent
(s/p excision and chemotherapy since 2018)
with 1) Size: 3.2 x 1.7 x 1,2 cm ("mass 1")
1.0 cm ("mass 2")
2) High grade component: present (focal)
3) Motosis: 5/10/HPF
4) Necrosis: not identified
5) Resection margins
- "mass 1": focally involved on lateral resection margin
- "mass 2" indeterminate due to the fragmented state
- "margin 1", "margin 2" and "margin 3" : negative for malignancy
(GROSS DESCRIPTION ) ---
Five separate bottles are submitted.
First, received fresh and labelled "Lt. Thigh mass 1" is a lump of grayish brown tissue (4,6 x 3.6 x 1.7cm, 12g). It has been cut previously. A well-defined rubbery mass (3.2 x 1.7 x 1.2cm) is present. The cut surface of the mass is reddish brown and rubbery without hemorrhage and necrosis.
Representative sections are submitted in A to D (RE mass),
<INK CODE>
BLUE: lateral.
Second, received fresh and labelled "Lt. Thigh mass 2" are four lump of ruptured grayish brown tissue (6.2 x 5.2 x 1.6cm in aggregates, 29g). Distinctive solid mass is not identified, grossly. Representative sections are submitted in E to T (E-L: alternated first specimen, M-O: alternate second specimen, P-R: entire third specimen, S-T: entire fourth specimen).
<INK CODE>
GREEN: lateral.
Third, received in formalin and labelled "Lt. Thigh mass 1-margin 1" is fragment of yellow brown tissue (1.8 x 0.6 x 0.5 cm). Entirely submitted in U.
Fourth, received in formalin and labelled "Lt. Thigh mass l-margin 2" is a fragment of grayish brown tissue (0.6 x 0.6 x 0.5 cm). Entirely submitted in V.
Fifth, received in formalin and labelled "Lt. Thigh mass 1-margin 3" is a fragment of grayish brown tissue (1.2 x 0.8 x 0.5 cm). Entirely submitted in W.
* Gross photograph has been taken.