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By Murray F Brennan; Jonathan J Lewis; James M Woodruff

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Additional resources for Diagnosis and Management: Soft Tissue Sarcoma

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The clinical course 41 depends on both the stage of the disease and the ability to induce the immunosuppression. AIDS-related Kaposi’s sarcoma Approximately 30% of patients with AIDS will develop Kaposi’s sarcoma. Indeed, diagnosis of Kaposi’s sarcoma frequently leads to clinical recognition of the syndrome. There is not an even distribution of Kaposi’s sarcoma among patients with AIDS, and it would seem that additional viral agents are responsible for the tumor. About 40% of homosexual patients with AIDS will develop Kaposi’s sarcoma, compared to <5% of those in the other recognized risk groups with AIDS.

Hibernoma 9. Lipoblastoma or lipoblastomatosis 10. Lipomatosis (a) Diffuse lipomatosis (b) Cervical symmetrical lipomatosis (Madelung’s disease) 11. Atypical lipomatous tumor B. Malignant tumors 1. Liposarcoma (a) Well-differentiated liposarcoma (i) Lipoma-like liposarcoma (ii) Sclerosing liposarcoma (iii) Inflammatory liposarcoma (b) Myxoid liposarcoma (c) Round cell (poorly differentiated myxoid) liposarcoma (d) Pleomorphic liposarcoma (e) Dedifferentiated liposarcoma (f) Liposarcoma with divergent myosarcomatous differentiation IV.

As with other adult sarcomas, there are no characteristic clinical findings. 6), usually of the retroperitoneum. Similar lesions located on the trunk and extremities are commonly designated atypical lipomatous tumor. Sclerosing liposarcoma, also a low-grade lesion, most commonly occurs in the retroperitoneum. Myxoid liposarcoma, a low- to intermediategrade lesion, accounts for 40–50% of all liposarcomas. The tumor consists of proliferating lipoblasts with a delicate capillary network and a myxoid matrix.

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