Sarcoma 
Volume 2008 (2008), Article ID 893918, 4 pages
doi:10.1155/2008/893918
Case Report

An Unusual Case of Hemosiderotic Fibrohistiocytic Lipomatous Lesion: Correlation of MRI and Pathologic Findings

Ronald S. A. de Vreeze, Wim Koops, Rick L. Haas, and Frits van Coevorden

Department of Radiology, Pathology, Radiation Oncology, and Surgical Oncology, Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital (NKI/AVL), 1066 CX Amsterdam, The Netherlands

Received 28 January 2008; Revised 11 April 2008; Accepted 24 May 2008

Recommended by Cyril Fisher

Abstract

The spectrum of lipomatous lesions ranges from benign to highly malignant disease. Differentiation between these lesions is important to indicate prognosis and choose the most appropriate treatment. Hemosiderotic fibrohistiocytic lipomatous lesion (HFLL) is a rare subtype of lipomatous tumor. The diagnosis is usually based on clinical, histological, and immunohistochemical information. Where magnetic resonance (MR) imaging is a suitable modality to assess fatty tumors, no data is reported on MR imaging of HFLL. Here, the MR characteristics are described in correlation with pathologic findings in a case of HFLL in the left thigh, an unusual location.