Clinical and pathological data, histological diagnoses, histology findings and immunohistochemical expression in the benign adipose tumours group
Case no. | Sex/age | Localisation/size (cm) | Diagnoses | Histology | IHC MDM2/CDK4 | Pattern of staining | Observations |
3 | M/51 | Cervical/4 | PL-LP | Numerous floret cells, fibrillary collagen | −/+ | 4/2 | CD34+ |
6 | F/24 | Mediastinum/8 | TLP | Infiltrative adipocytes | −/− | 4/4 | |
11 | F/72 | Cervical/3 | SC-LP | Spindle cells, fibrillary collagen | −/− | 4/4 | CD34+ |
12 | M/33 | Dorsum/15 | NC-LP | Esteatonecrosis, atypical nuclei, reactive myofibroblasts, lockern | −/− | 4/4 | No MDM2 amplification by FISH* |
23 | M/44 | Dorsum/3 | NC-LP | Esteatonecrosis, atypical nuclei, reactive myofibroblasts | +/− | 2/4 | |
24 | M/49 | Cervical/15 | NC-LP | Myxoid stroma | −/− | 4/4 | |
25 | F/19 | Knee/14 | FBLP | Fibrous sclerotic stroma | +/− | 2/4 | Some CD34+ cells, possible Gardner type fibroma |
26 | F/32 | Gluteus/15 | NC-LP | Adipocyte size variation, atypical/large nuclei | −/− | 4/4 | |
42 | M/28 | Forearm/2 | NFBLP | Infiltrative adipocytes | −/− | 4/4 | |
47 | F/41 | Inguinal/13 | NC-LP | Adipocyte size variation, atypical/large nuclei | −/− | 4/4 | |
49 | F/45 | Cervical/3 | SC-LP | Spindle cells, fibrillary collagen | +/+ | 2/2 | CD34+ |
55 | F/37 | Kidney/12 | AMLP | Perirrenal fat infiltration | +/− | 2/4 | |
65 | M/35 | Thigh/38 | HIB | Hibernoma cells, dense fibrous stroma | −/− | 4/4 | No CPM amplification by FISH* |
76 | M/37 | Thigh/25 | IM-LP | Rare hibernomatous cells, infiltrative pattern | +/− | 2/4 | |
110 | F/62 | Malar/NI | SC-LP | Spindle cells, fibrillary collagen | +/− | 1/4 | CD34+ |
113 | F/57 | Hand/7 | NC-LP | Myxoid stroma | +/− | 2/4 | |
128 | F/47 | Arm/4 | PL-LP | Hyperchromatic cells, fibrillary collagen | −/− | 4/4 | CD34+, no CPM amplification by FISH* |
Staining pattern: 1, diffuse positivity (>30% of cells were immunoreactive); 2, moderate positivity (10–29% of cells were immunoreactive); 3, focal positivity (<10% of cells were immunoreactive); 4, negative (no cell was immunoreactive).
*Department of Pathology, Mayo Clinic, Rochester, Minnesota, USA.
M, male; F, female; PL-LP, pleomorphic lipoma; TLP, timolipoma; SC-LP, spindle cell lipoma; NC-LP, non-conventional lipoma; FBLP, fibrolipoma; NFBLP, neural fibrolipoma; AMLP, angiomyolipoma; HIB, hibernoma; IM-LP, intramuscular lipoma.