Article Text

other Versions

PDF
Letter to the editor
Pleomorphic liposarcoma of the hand
  1. Po Yin Tang,
  2. Rafay Azhar,
  3. Sittampalam Kesavan
  1. Department of Pathology, Singapore General Hospital, Singapore
  1. Correspondence to Dr Sittampalam Kesavan, Department of Pathology, Singapore General Hospital, 20 College Road, Level 10, Diagnostics Tower, The Academia, Singapore 169856, Singapore; kesavan.sittampalam{at}sgh.com.sg

Statistics from Altmetric.com

Soft tissue sarcomas are uncommon, with 4% of cases occurring in the hand.1 Despite being one of the more common soft tissue sarcomas in adults, liposarcoma is uncommonly described in the hand. We describe a case of a pleomorphic liposarcoma (PLS) of the left hand, which is a rare entity occurring in a rare location.

A middle-aged patient presented with a 2-year history of a large lump at the left hand first web space, which was noted to be recently increasing in size. No redness, pain or preceding history of trauma was noted. Hand examination revealed a non-tender, soft to firm multilobulated lump at the left hand first web space, which was not attached to skin.

Plain radiography of the patient's left hand showed a well circumscribed soft tissue swelling with mild impression on the adjacent surface of the first metacarpal bone but no associated calcifications or bony fracture (figure 1).

Figure 1

Plain radiograph of the left hand showed soft tissue swelling in the first web space. It caused a mild impression on the adjacent surface of the first metacarpal bone. This implied that the lesion was of a long-standing nature. No calcifications seen in it and no bony fractures seen.

The patient underwent exploration and excision biopsy of the lump. Intraoperatively a 4×5×6 cm multilobulated lump was noted in the left hand first web space (figure 2), extending in between the two layers of muscles in the …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.