Myxoid liposarcoma: appearance at MR imaging with histologic correlation

Radiographics. 2000 Jul-Aug;20(4):1007-19. doi: 10.1148/radiographics.20.4.g00jl021007.

Abstract

Although myxoid liposarcoma is a subtype of liposarcoma, it may be difficult to establish the correct diagnosis with magnetic resonance (MR) imaging due to the lack of fat signal intensity. Without the administration of gadolinium contrast material, the tumor may even mimic a cystic tumor. A spectrum of MR imaging abnormalities occur in myxoid liposarcoma, depending on the amount of fat and myxoid material, the degree of cellularity and vascularity, and the presence of necrosis. Most myxoid liposarcomas have lacy or linear, amorphous foci of fat. Some myxoid liposarcomas appear to be cystic at nonenhanced MR imaging, although they enhance like other solid masses at contrast material-enhanced MR imaging. The enhancing areas within the tumor represent increased cellularity and vascularity; the nonenhancing areas represent necrosis, reduced cellularity, and accumulated mucinous material. Gadolinium-enhanced imaging is important in differentiating myxoid liposarcoma from benign cystic tumors. Characterization of the tumor with MR imaging plays an important role in the management of myxoid liposarcoma.

MeSH terms

  • Adipose Tissue / pathology
  • Contrast Media / administration & dosage
  • Cysts / diagnosis
  • Diagnosis, Differential
  • Gadolinium / administration & dosage
  • Humans
  • Image Enhancement / methods
  • Liposarcoma, Myxoid / blood supply
  • Liposarcoma, Myxoid / diagnosis*
  • Liposarcoma, Myxoid / pathology
  • Magnetic Resonance Imaging*
  • Mucins
  • Necrosis
  • Neoplasm Recurrence, Local / diagnosis
  • Neoplasm Recurrence, Local / pathology
  • Soft Tissue Neoplasms / blood supply
  • Soft Tissue Neoplasms / diagnosis*
  • Soft Tissue Neoplasms / pathology

Substances

  • Contrast Media
  • Mucins
  • Gadolinium