Abstract
A case of sclerosing epithelioid fibrosarcoma and its appearance on MRI is presented. The tumor showed a zonal architecture on MRI with a large central core of very low signal intensity and a peripheral rim of intermediate to high signal intensity on T1- and T2-weighted spin echo pulse sequences. The core showed decreased cellularity with dense collagen deposition on histologic examination, and the peripheral zone increased cellularity with increased nuclear atypia. The presence of a prominent region of very low signal intensity on T1- and T2-weighted images can be seen with neural tumors, giant cell tumor of the tendon sheath, aggressive fibromatosis, and, in rare instances, with soft tissue sarcomas rich in collagen.
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Christensen, D., Ramsamooj, R. & Gilbert, T. Sclerosing epithelioid fiberosarcoma: short T2 on MR imaging. Skeletal Radiol 26, 619–621 (1997). https://doi.org/10.1007/s002560050297
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DOI: https://doi.org/10.1007/s002560050297