PMC4561096_01
PMC4561096_02
Preoperative T2 axial MRI image showing a heterogenous, subfascial mass (a) compared with postoperative T1 axial MRI image showing no evidence of residual mass (b).
CRIONM2015-172603.001.jpg
PMC4561096_05_CRIONM2015-172603.001.jpg
fig1
He was back to work full time as a laborer and his wounds were completely healed (Figures 1(b) and 3).
PMC4561096_03
PMC4561096_04
Pathology from the time of definitive surgery revealed a high-grade spindle cell sarcoma growing in fascicles that invaded subfascial tissue ((a), H&E). Immunohistochemical stains demonstrated strong, diffuse positivity for desmin ((b), immunostain). A grade 3 leiomyosarcoma was diagnosed with stage pT2bNxMx.
CRIONM2015-172603.002.jpg
PMC4561096_04_CRIONM2015-172603.002.jpg
fig2
Pathology revealed a 10.8 cm residual high-grade leiomyosarcoma with 5-10% necrosis and 28 mitoses per 10 high-powered fields (Figure 2).
PMC4561096_05
Preoperative T2 axial MRI image showing a heterogenous, subfascial mass (a) compared with postoperative T1 axial MRI image showing no evidence of residual mass (b).
CRIONM2015-172603.001.jpg
PMC4561096_05_CRIONM2015-172603.001.jpg
fig1
He was back to work full time as a laborer and his wounds were completely healed (Figures 1(b) and 3).