Diagnosis and Management: Soft Tissue Sarcoma by Murray F Brennan; Jonathan J Lewis; James M Woodruff

By Murray F Brennan; Jonathan J Lewis; James M Woodruff

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The lesions of digital fibromatosis tend to appear in the extensor surfaces of the distal phalanges of the fingers and toes of male infants or very young children. Recurrence is almost certain unless removal is complete, despite digital amputation. Fascial or congenital localized fibromatosis, while similar to fibromatosis colli, is not limited to any particular muscle group but is found most commonly in the arm and thigh, and is usually discovered soon after birth. Grossly, because of its considerable size and location, usually in deep muscle, it has an alarming appearance.

81 Patients may present with cough and hemoptysis. Epithelioid hemangioendothelioma can also arise in the liver, often presenting as an incidental finding, or during a work-up for mild elevation of liver enzymes or vague abdominal pain. Multiple liver nodules are usually found. Although such tumors can metastasize, they usually have an indolent course. 83 The disease is usually indolent, although it can spread to the lungs and the gastrointestinal tract. Cutaneous lesions can be palliated with radiation therapy when necessary.

Neural tumors A. Benign tumors 1. Traumatic neuroma 2. Morton’s neuroma 3. Nerve sheath ganglion 4. Mucosal neuromas 5. Neuromuscular hamartoma 6. Nerve sheath myxoma and neurothekeoma 7. Schwannoma (neurilemoma) (a) Cellular schwannoma (b) Plexiform schwannoma (c) Schwannomatosis 8. Melanocytic schwannoma 9. Neurofibroma (a) Solitary cutaneous neurofibroma (b) Intraneural solitary neurofibroma (c) Plexiform neurofibroma (d) Diffuse neurofibroma 10. Granular cell tumor 11. Ectopic meningioma 12.

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