Synonyms
Definition
Atypical lipomatous tumor/well-differentiated liposarcoma (ALT/WDLPS) represents the largest subgroup of adipocytic malignancies (Enzinger and Winslow 1962). The terms ALT and WDLPS are synonyms, describing locally aggressive lesions showing identical morphological and genetical features (Weiss and Rao 1992; Lucas et al. 1994). The term ALT is recommended for lesions arising at anatomic locations for which complete surgical excision is feasible and curative, whereas the term WDLPS is preferred for lesions arising at central body sites, such as the retroperitoneum, for which multivisceral resection is considered, and the potential for disease progression is greater. The tumor is composed either entirely or partly of an adipocytic proliferation showing nuclear atypia in both adipocytes and stromal cells. In the current WHO, three histological variants of ALT/WDLPS are recognized (Evans 2007): (1) adipocytic (lipoma-like), (2) sclerosing, and (3)...
References and Further Reading
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Binh, M. B., Sastre-Garau, X., Guillou, L., et al. (2005). MDM2 and CDK4 immunostainings are useful adjuncts in diagnosing well-differentiated and dedifferentiated liposarcoma subtypes: A comparative analysis of 559 soft tissue neoplasms with genetic data. The American Journal of Surgical Pathology, 29, 1340–1347.
Bonvalot, S., Miceli, R., Berselli, M., et al. (2010). Aggressive surgery in retroperitoneal soft tissue sarcoma carried out at high-volume centers is safe and is associated with improved local control. Annals of Surgical Oncology, 17(6), 1507–1514.
Cai, Y. C., McMenamin, M. E., Rose, G., et al. (2001). Primary liposarcoma of the orbit: A clinicopathologic study of seven cases. Annals of Diagnostic Pathology, 5(5), 255–266.
Clay, M. R., Martinez, A. P., Weiss, S. W., et al. (2016). MDM2 and CDK4 immunohistochemistry: Should it be used in problematic differentiated lipomatous tumors?: A new perspective. The American Journal of Surgical Pathology, 40(12), 1647–1652.
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Enzinger, F. M., & Winslow, D. J. (1962). Liposarcoma. A study of 103 cases. Virchows Archiv für Pathologische Anatomie und Physiologie und für Klinische Medizin, 335, 367–388.
Evans, H. L. (2007). Atypical lipomatous tumor, its variants, and its combined forms: A study of 61 cases, with a minimum follow-up of 10 years. The American Journal of Surgical Pathology, 31(1), 1–14.
Hahn, H. P., & Fletcher, C. D. (2007). Primary mediastinal liposarcoma: Clinicopathologic analysis of 24 cases. The American Journal of Surgical Pathology, 31(12), 1868–1874.
Italiano, A., Bianchini, L., Keslair, F., et al. (2008). HMGA2 is the partner of MDM2 in well-differentiated and dedifferentiated liposarcomas whereas CDK4 belongs to a distinct inconsistent amplicon. International Journal of Cancer, 122(10), 2233–2241.
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Wang, X., Asmann, Y. W., Erickson-Johnson, M. R., et al. (2011). High-resolution genomic mapping reveals consistent amplification of the fibroblast growth factor receptor substrate 2 gene in well-differentiated and dedifferentiated liposarcoma. Genes, Chromosomes & Cancer, 50(11), 849–858.
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Sbaraglia, M. (2020). Atypical Lipomatous Tumor/Well-Differentiated Liposarcoma. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5352-1
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