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Department of Pathology, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.

Article Synopsis
  • Atypical spindle cell/pleomorphic lipomatous tumor (ASCPLT) is a rare fat tumor that usually appears in the skin layer of middle-aged adults' limbs, potentially returning after incomplete removal but not spreading to distant areas.
  • Histologically resembling spindle cell/pleomorphic lipoma, ASCPLT shows a mix of abnormal cells, including atypical spindle cells and multinucleated giant cells, and can sometimes undergo a change to a more aggressive form, although its significance is still unclear.
  • The primary treatment is complete surgical removal, and the review covers the tumor's clinical features, pathology, and ongoing discussions about differentiating it from similar tumors.
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Department of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.

Spindle cell lipoma (SCL) is a benign adipocytic tumor that primarily occurs in the subcutis of the posterior neck, upper back, and shoulder, particularly of middle-aged males. SCL and pleomorphic lipoma (PL) represent a morphological spectrum of one disease process. The lesion typically presents as a relatively small (<5 cm), mobile, slow-growing, painless mass.

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Spindle cell/pleomorphic lipoma (SC/PL) is a subcutaneous mass usually localised on nape, shoulder or upper back. It is a benign lipogenic tumour composed of primitive CD34-positive spindle cells, floret-like multinucleated giant cells and mature adipocytes. Complete surgical excision is the optimal treatment.

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