A Rare Case of Low-Grade Dedifferentiated Liposarcoma Presenting as a Pharyngeal Polyp: Avoiding a Pitfall With Significant Repercussions

Int J Surg Pathol. 2022 Jun;30(4):405-412. doi: 10.1177/10668969211062859. Epub 2021 Dec 13.

Abstract

Dedifferentiated liposarcoma is a nonlipogenic sarcoma of variable histological grade that frequently arises in association with a well-differentiated liposarcoma. Dedifferentiation occurs in approximately 10% of well-differentiated liposarcomas and is most commonly encountered in the retroperitoneum. Dedifferentiated liposarcoma of the upper respiratory tract is an extremely rare occurrence. Herein, we report a very rare case of low-grade dedifferentiated liposarcoma of the pharynx that presented as a polyp mimicking a benign process clinically and microscopically. We discuss the relevant molecular findings and review the current literature.

Keywords: CDK4; MDM2; dedifferentiated liposarcoma; liposarcoma; low grade; next generation sequencing; polyp; upper respiratory tract.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Lipoma* / pathology
  • Liposarcoma* / diagnosis
  • Liposarcoma* / pathology
  • Liposarcoma* / surgery
  • Pharynx / pathology
  • Polyps* / pathology
  • Soft Tissue Neoplasms* / pathology