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            Myxoid Tumours of Soft Tissue

                     Dr  Sampurna Roy  MD

 
   Gastrointestinal Stromal Tumour

          

http://www.histopathology-india.net/SoftTissuePath.htm

May 2009

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Myxoid Tumours of Soft Tissue

Classification of Soft Tissue Tumour

Gross examination of soft tissue specimen          

A practical approach to histopathological reporting of soft tissue tumours

Grading of soft tissue tumours

Lipomatous tumours

Neural tumours

Myogenic tumours

Fibroblastic/Myofibroblastic tumours

Myofibroblastic tumours

Fibrohistiocytic tumours

ChondroOsseous tumours

Soft TissueTumours of Uncertain Differentiation

Notochordal Tumour - Chordoma

Extra-adrenal Paraganglioma

Gastrointestinal Stromal Tumour

             
Piloleiomyomas are benign smooth muscle tumors arising from the arrectores pilorum muscles in the skin.
The tumour usually presents as multiple reddish brown nodule. These are usually painful or sensitive to touch and cold.

Solitary lesions are rare and are usually larger than the multiple form (upto 2cm or more  in diameter).
These are usually noted in the second and third decade of life.
Common sites include face, back, and the extremities.

Microscopic features:
 

Image1 Image2 ; Image3 ; Image4 ; Image5 ; Image6.

These are circumscribed non encapsulated tumours characterized by  bundles and and fascicles of smooth muscle cells.
Tumour cells are characterized by eosinophilic cytoplasm with  vesicular nuclei. 
Rarely, occasional  mitotic figures may be  present.
Immunohistochemistry reveals that the tumour cells are positive for actin and desmin.
            

        

Abstracts:

Piloleiomyoma mistaken for postacne scarring. Cutis. 2004 ;73(5):335-7

Bilateral multiple piloleiomyomas on the breast. Breast. 2004(2):146-8.

Piloleiomyoma--a report of five cases. Indian J Pathol Microbiol. 2001 Jan;44(1):69-71.

An atypical piloleiomyoma presenting as a nonhealing ulcerated nodule. Cutis. 1996 Mar;57(3):168-70.

Piloleiomyoma arising in an organoid nevus: a case report and review of the literature. J Dermatol Surg Oncol.1987 (11):1213-8. 

A case of multiple piloleiomyoma associated with submucosal tumor of the stomach. J UOEH. 1987 Sep1;9(3):321-7.

Arrector pili nevus--histological comparison to piloleiomyoma and study of reported cases in Japan] Nippon Hifuka Gakkai Zasshi. 1987 Aug;97(9):999-1006.

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Pulmonary Mesenchymal Tumours

Primary Pulmonary Leiomyosarcoma

Primary Pulmonary Rhabdomyosarcoma

Primary Monophasic Synovial Sarcoma of the Lung

Neurogenic Tumours of the Lung

Intrapulmonary Solitary Fibrous Tumour

Localized Fibrous Tumour of the Pleura

Pulmonary Malignant Fibrous Histiocytoma

Kaposi's Sarcoma and Angiosarcoma of the Lung

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Lymphangioleiomyomatosis

Pathology of the Eyelid

Inflammatory diseases of the Eyelid

Tumour and tumour-like lesions of the Eyelid

Adnexal Tumours of the eyelid

Epidermal tumours of the Eyelid

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Melanocytic tumours of the Eyelid

CONGENITAL SMOOTH MUSCLE HAMARTOMA

PILOLEIOMYOMA:

ANGIOLEIOMYOMA:

LIPOLEIOMYOMA:

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LEIOMYOSARCOMA

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