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handle: 10261/62930
El liposarcoma mixoide aparece en extremidades de pacientes jóvenes, y muestra una apariencia mixoide, y unas características citogenéticas determinantes. Presentamos el caso de un varón de 37 años con un gran tumor retroperitoneal, que había sido diagnosticado previamente de un tumor de muslo. El tumor se caracterizaba por presentar una red vascular capilar plexiforme con células fusiformes monomorfas y células redondas atípicas. Mostraba una translocación (12;16). Planteó el diagnostico diferencial con liposarcoma desdiferenciado con áreas de tipo mixofibrosarcoma. El liposarcoma mixoide en retroperitoneo es más probable de origen secundario, por la peculiar propensión del LPS mixoide de extremidad a dar metástasis en tejidos blandos extrapulmonares, sobre todo retroperitoneo.
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