Research Article

Diagnostic Differences in Expert Second-Opinion Consultation Cases at a Tertiary Sarcoma Center

Table 3

Adipocytic tumors with discrepancy in opinion.

Original diagnosisSecond-opinion diagnosisComments

Malignant to malignant, 12 cases
Malignant peripheral nerve sheath tumorDedifferentiated liposarcomaMDM2 amplified
Atypical neoplasmWell-differentiated liposarcomaMDM2 amplified
Myxoid sarcomaDedifferentiated liposarcomaMDM2 failed
Pleomorphic leiomyosarcomaDedifferentiated liposarcomaMDM2 amplified
LeiomyosarcomaDedifferentiated liposarcomaMDM2 amplified
Sarcomatoid renal cell carcinomaDedifferentiated liposarcoma
Pleomorphic sarcomaDedifferentiated liposarcoma
SarcomaDedifferentiated liposarcoma with rhabdomyosarcomatous areasMDM2 amplified
LeiomyosarcomaDedifferentiated liposarcomaMDM2 amplified
Undifferentiated sarcomaDedifferentiated liposarcomaMDM2 amplified, ALK negative, CDK4 focal, INI1 +

Low-grade sarcomaDedifferentiated liposarcoma
Undifferentiated sarcomaWell-differentiated liposarcomaMDM2 amplified

Malignant to benign, 7 cases
7 cases of liposarcomaLipoma with or without fat necrosisMDM2 not amplified in all cases, but CDK4 positive in 1 case

Benign to benign, 5 cases
Spindle cell lipomaFibrolipomaMDM2 not amplified
HamartomaFibrolipoma
Spindle cell lipomaLipoblastoma
Fibrous hamartoma of infancyLipoblastomatosis
MyxomaSpindle cell lipoma

Benign to malignant, 5 cases
4 lipomas, 1 stromal lesionWell-differentiated liposarcomaMDM2 amplified in all cases

Intermediate to malignant, 2 cases
Inflammatory myofibroblastic tumorDedifferentiated liposarcomaMDM2 amplified
Solitary fibrous tumorDedifferentiated liposarcomaMDM2 amplified, CDK4 positive, MUC4, DOG1, ALK negative
Nondiagnostic material, 1 caseDedifferentiated liposarcomaMDM2 amplified