| Ossifying
chondroid lipoma.Skeletal
Radiol. 2008 Feb 8.
Chondroid lipoma is a
rare variant of lipoma that pathologically can mimic liposarcoma or possibly
other sarcomas. Variants of lipoma, including chondroid lipoma, may
demonstrate radiological evidence of fat within the tumor, but often display
heterogeneous features on imaging studies, making a clinical diagnosis
difficult. A large collective experience with the imaging characteristics of
chondroid lipoma is lacking due to the rarity of this tumor. We present a
case of chondroid lipoma of the upper thigh in a 37-year-old woman who had
regions of metaplastic bone formation within the tumor. Radiologically, the
tumor presented as a large soft tissue mass with calcification and
ossification. Although metaplastic bone formation in conventional lipoma is
well described, it has been rarely reported to occur in chondroid lipoma and
has not been pathologically documented or illustrated. The imaging findings
and histopathology of this unusual tumor are presented, along with a review
of the literature. |