XXVI International Congress of the
International Academy of Pathology
Montreal, Quebec, Canada




Slide Seminar 18 - Soft Tissue Pathology

Wednesday, September 20, 2006 14:00 - 17:30




  Moderators: Dr. John R. Goldblum and Dr. Cyril Fisher
  Disclosure: In accordance with ACCME guidelines regarding disclosure, the USCAP policy requires that faculty members who have a significant financial or other relationship with a commercial company, entity, or service (which will be discussed in this Slide Seminar) must disclose this to attendees. The Academy also requires that speakers disclose any products that are not labeled for the use under discussion. Faculty members for this Slide Seminar have indicated they have no disclosures to make.



Clinical histories are displayed below.
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Case 1 - Atypical Fibroblastic Neoplasm with Pseudoangiomatous, Cystic/Microcystic and Myxoid Features, Possibly Solitary Fibrous Tumor Variant

Submitted by: Dr. Janez Lamovec

Clinical History:

An 81-year-old woman presented with a subcutaneous tumor of the nape of the neck. The tumor was first noted three years previously, when it measured 3 cm. Recently, it enlarged considerably and prompted the patient to seek medical attention.


Case 1 - Slide 1
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Case 1 - Slide 2
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Case 1 - Slide 3
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Case 1 - Slide 4
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Case 2 - The Conceptual Evolution of Low Grade Fibromyxoid Sarcoma

Submitted by: Dr. Angelo Paolo Dei Tos

Clinical History:

4-year-old female with a slow-growing 8-cm mass in the buttock.


Case 2 - Slide 1
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Case 3 - Pleomorphic Hyalinizing Angiectatic Tumor

Submitted by: Dr. Michal Michal

Clinical History:

A 76-year-old woman had a tumor in the soft tissues of the axilla. The tumor was round-shaped, well-circumscribed, 3 cm in diameter with a partial capsule. On cut section it was centrally hemorrhagic.


Case 3 - Slide 1
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Case 4 - Phosphaturic Mesenchymal Tumor, Mixed Connective Tissue Type, Histologically and Clinically Malignant

Submitted by: Dr. Andrew Folpe

Clinical History:

50-year-old male with a recurrent, destructive lesion of the mandible.


Case 4 - Slide 1
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Case 5 - Extra-thoracic Solitary Fibrous Tumour, Malignant

Submitted by: Dr. Françoise Collin

Clinical History:

A 32-year-old man presented with urine retention. CT scan and MRI were performed. They revealed a large pelvic mass with well-defined margins, located in the presacral area. The rectum was displaced laterally, and the bladder was pushed forward. Sacral bone was uninvolved. A well-circumscribed and partially encapsulated tumor measuring 14 x 10 x 6 cm was resected. On cut section, it was made of a white-gray fibrous-appearing focally nodular tissue with a firm consistency. There were scattered hemorrhagic changes. Three years later, the tumor recurred as a 6.5 cm mass in the retroperitoneum.


Case 5 - Slide 1
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Case 6 - Chondroid Lipoma

Submitted by: Dr. Gunnlaugur Petur Nielsen

Clinical History:

A 46-year-old man presented with a 5 x 3.5 x 2.5 cm painless mass in the proximal thigh. At the time of surgery, the mass was located between the gracilis and adductor muscles. Grossly it was encapsulated, lobulated, firm and bright yellow.


Case 6 - Slide 1
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