Pathology: myxoid liposarcoma

Myxoid liposarcoma

  • Loose fascicles and strips of spindle-stellate cells with eosinophilic cytoplasm

  • Monomorphic ovoid-round nuclei

  • Pools of extracellular mucin with a so-called "pulmonary oedema" pattern; delicate branching vessels; occasional lipoblasts

  • RNA-seq: FUS::DDIT3

Myxoid liposarcoma

  • Strips and loose fascicles of spindle-stellate cells with eosinophilic cytoplasm

  • Occasional lipoblasts; typically 1-2 intracytoplasmic vacuoles

  • Monomorphic ovoid-round nuclei

  • Pools of extracellular mucin with a so-called "pulmonary oedema" pattern; delicate branching vessels

  • RNA-seq: FUS::DDIT3

Myxoid liposarcoma

  • Nests and fascicles of round-spindle-stellate cells with eosinophilic cytoplasm

  • Monomorphic ovoid-round nuclei

  • Pools of extracellular mucin with a so-called "pulmonary oedema" pattern; delicate branching vessels; occasional lipoblasts

  • RNA-seq: FUS::DDIT3

Myxoid liposarcoma

  • Loose fascicles of spindle-stellate cells with eosinophilic cytoplasm

  • Occasional lipoblasts; typically 1-2 intracytoplasmic vacuoles

  • Monomorphic ovoid-round nuclei

  • Abundant myxoid stroma; delicate branching vessels with a so-called "chicken-wire" or "crow's foot" pattern

  • Pools of extracellular mucin with a so-called 'pulmonary oedema' pattern; delicate branching vasculature; scattered small lipoblasts

  • RNA-seq: FUS::DDIT3

Myxoid liposarcoma

  • Loose fascicles of spindle-stellate cells with eosinophilic cytoplasm

  • Monomorphic ovoid-round nuclei

  • Myxoid stroma; delicate branching vessels; conspicuous lipoblasts

  • RNA-seq: FUS::DDIT3

Myxoid liposarcoma, hypercellular subtype (formerly round cell liposarcoma)

  • Sheets of round cells with scant cytoplasm

  • Occasional lipoblasts; typically 1-2 intracytoplasmic vacuoles

  • Minimal intervening matrix, but areas of myxoid stroma can usually be found

  • RNA-Seq: FUS::DDIT3

Myxoid liposarcoma, hypercellular subtype (formerly round cell liposarcoma)

  • Anatomizing sheets of round-spindle cells with scant cytoplasm

  • Occasional lipoblasts with granular eosinophilic cytoplasm and innumerable vacuoles

  • Interspersed areas of myxoid stroma containing delicate branching vasculature

  • RNA-Seq: EWSR1::DDIT3