We report the case of a 34-year-old man who presented with a 4-year history of a soft tissue on the palmar aspect of the thumb. Magnetic resonance imaging demonstrated the presence of a mass with heterogeneous high intensities on T1-weighted images and high intensities on T2-weighted images. We performed excisional biopsy. Histologically, the tumor was composed of mature adipocytes and spindle cells in a collagen background. Immunohistochemically, the tumor cells showed strong expression of CD34. Therefore, we diagnosed it as spindle cell lipoma. To the best of our knowledge, only 2 cases of spindle cell lipoma of the thumb have previously been reported.
机构:
Albert Einstein Coll Med, Montefiore Med Ctr, Dept Pathol, Bronx, NY 10467 USAAlbert Einstein Coll Med, Montefiore Med Ctr, Dept Pathol, Bronx, NY 10467 USA
Marks, Etan
Amin, Sapna M.
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Northwestern Univ, Dept Dermatol, Div Dermatopathol, Chicago, IL 60611 USAAlbert Einstein Coll Med, Montefiore Med Ctr, Dept Pathol, Bronx, NY 10467 USA
Amin, Sapna M.
Xia, Ling
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Forefront Dermatol, Div Dermatopathol, Milwaukee, WI USAAlbert Einstein Coll Med, Montefiore Med Ctr, Dept Pathol, Bronx, NY 10467 USA
Xia, Ling
Guitart, Joan
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Northwestern Univ, Dept Dermatol, Div Dermatopathol, Chicago, IL 60611 USAAlbert Einstein Coll Med, Montefiore Med Ctr, Dept Pathol, Bronx, NY 10467 USA
Guitart, Joan
Laskin, William
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Bridgeport Hosp, Yale New Haven Hlth, Dept Pathol, New Haven, CT USAAlbert Einstein Coll Med, Montefiore Med Ctr, Dept Pathol, Bronx, NY 10467 USA