PMC7670184_01
Clinical presentation. Published with the patient's consent
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F1
A 78-year-old patient presented with a firm exophytic mass of the left dorsal surface of the tongue, sized 4 x 4.5 cm (Fig. 1).
MRI, T2-weighted image, axial plane. A lesion sized 4-4.5 cm on the dorsal surface of the tongue is imaged
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F2
An MRI was performed, describing an exophytic solid mass on the dorsal surface of the tongue sized 4-4.5 cm (Fig. 2).
A mixture of uniform round to oval-shaped non-lipogenic cells and small signet ring lipoblasts in a myxoid stroma (haematoxylin and eosin, x200)
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F3
A biopsy was taken, and the histopathology report presented a malignant neoplastic process with morphological features of a myxoid liposarcoma, with uniformly round to oval shaped primitive non-lipogenic mesenchymal cells and signet-ring lipoblasts in a prominent myxoid stroma, with rich "chicken-wire" capillary vasculature (Figs. 3 and 4).
A rich of delicate, arborising "chicken-wire" capillary vasculature (immunostain CD34, x200)
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F4
A biopsy was taken, and the histopathology report presented a malignant neoplastic process with morphological features of a myxoid liposarcoma, with uniformly round to oval shaped primitive non-lipogenic mesenchymal cells and signet-ring lipoblasts in a prominent myxoid stroma, with rich "chicken-wire" capillary vasculature (Figs. 3 and 4).