Low-Grade Fibromyxoid Sarcoma Incidentally Discovered as a Hip Mass: A Case Report

IF 1.4 4区 医学 Q3 ACOUSTICS Journal of Clinical Ultrasound Pub Date : 2025-03-18 DOI:10.1002/jcu.23962
Xinying Jia, Rui Ma, Hongyan Liu, Bo Zhang
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Abstract

Low-grade fibromyxoid sarcoma (LGFMS) is a rare soft tissue malignant tumor that presents as a slowly enlarging painless mass that is difficult to differentiate from other neoplasms. A 56-year-old woman presented to our clinic with a soft mobile mass in the left buttock and ipsilateral lower limb stiffness. Ultrasonography revealed a hypoechoic mass in the gluteus maximus adhering to and compressing the sciatic nerve. Ultrasound-guided biopsy indicated that the tumor consisted of spindle cells featuring mucinous metaplasia. Postoperative pathology confirmed LGFMS. Postoperative follow-up showed good recovery and no sciatic nerve compression. This case presents an effective approach to diagnose LGFMS.

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偶然发现的低级别纤维黏液样肉瘤为髋关节肿块一例报告。
低级别纤维黏液样肉瘤(LGFMS)是一种罕见的软组织恶性肿瘤,表现为缓慢扩大的无痛肿块,难以与其他肿瘤区分。一名56岁的女性以左臀部柔软的可移动肿块和同侧下肢僵硬来到我们诊所。超声检查显示臀大肌有一个低回声肿块附着并压迫坐骨神经。超声引导下活检显示肿瘤由梭形细胞组成,并伴有粘液化生。术后病理证实为LGFMS。术后随访显示恢复良好,无坐骨神经受压。本病例提供了一种诊断LGFMS的有效方法。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
248
审稿时长
6 months
期刊介绍: The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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