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SOFT TISSUE TUMORS. Prof Hesham Saad. Fibroma. Fibroma. More or less mature fibrous tissue consisting of interlacing bundles of mature fibroblasts, collagen fibres and few blood capillaries. FIBROSARCOMA.
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SOFT TISSUE TUMORS Prof HeshamSaad
Fibroma Fibroma More or less mature fibrous tissue consisting of interlacing bundles of mature fibroblasts, collagen fibresand few blood capillaries
FIBROSARCOMA • Highly cellular, plumped spindle shaped cells, architecture disarray, cellular and nuclear pleomorphism, frequent and abnormal mitotic • figures & necrosis
Lipoma Lobules of mature clear fat cells resembling normal cells with no pleomorphism separated by thin fibro-vascular septa
liposarcoma Liposarcoma is composed of large bizarre lipoblasts(primitive nucleated fat cells with clear vacuolated cytoplasm ) with mitoses and pleomorphism
FIBROUS HISTIOCYTOMA Benign fibrous histiocytoma: proliferating spindle shaped cells arranged in storiform pattern, foam cells, hemosidrindeposits & multinucleated giant cells
RHABDOMYOSARCOMA Sheets of both oval & spindle shaped malignant cells showing all malignant criteria Rhabdomyoblast is the diagnostic cell in all types (oval or elongated) (tadepole or strap cells ) with esinophilic eccentric granular cytoplasm containing cross striations
- Dense fibrous trabeculae divide the tumor into compartments- Nests or islands of tumour cells are separated by thin walled vascular septa - Tumor cells are large, round to oval, with eosinophilic granular cytoplasm, eccentric rounded nuclei and prominent nucleoli.- Central degeneration and loss of cohesion, result in pseudo alveolar pattern. Alveolar soft part sarcoma