Lipomatous Tumors: A Comparison of MRI-Reported Diagnosis with Histological Diagnosis
Lipomatous tumors are among the most common soft tissue tumors (STTs). Magnetic resonance imaging (MRI) is a state-of-the-art diagnostic tool used to differentiate and characterize STTs. Radiological misjudgment can lead to incorrect treatment. This was a single-center retrospective study. Two hundr...
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| Format: | Article |
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MDPI AG
2022-05-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/5/1281 |
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| author | Tobias M. Ballhause Alexander Korthaus Martin Jahnke Karl-Heinz Frosch Jin Yamamura Tobias Dust Carsten W. Schlickewei Matthias H. Priemel |
| author_facet | Tobias M. Ballhause Alexander Korthaus Martin Jahnke Karl-Heinz Frosch Jin Yamamura Tobias Dust Carsten W. Schlickewei Matthias H. Priemel |
| author_sort | Tobias M. Ballhause |
| collection | DOAJ |
| description | Lipomatous tumors are among the most common soft tissue tumors (STTs). Magnetic resonance imaging (MRI) is a state-of-the-art diagnostic tool used to differentiate and characterize STTs. Radiological misjudgment can lead to incorrect treatment. This was a single-center retrospective study. Two hundred and forty lipomatous tumors were included. MRI diagnoses were categorized as benign, intermediate, or malignant and were compared with histological diagnoses. Tumor volumes were measured by MRI and from surgical specimens. The tumor was correctly categorized 73.3% of the time. A total of 21.7% of tumors were categorized as more malignant in MRI reports than they were by histology, and vice versa for 5.0% of tumors. Volume measured by MRI was not different from actual tumor size in pathology. Atypical lipomatous tumors (ALTs) and liposarcomas (LPSs) were larger when compared with lipomata and occurred in older patients. Based on the MRI-suspected tumor entity, surgical treatment can be planned. Large lipomatous tumors in elderly patients are more likely to be ALTs. However, a safe threshold size or volume for ALTs cannot be determined. |
| first_indexed | 2024-03-10T03:01:42Z |
| format | Article |
| id | doaj.art-36f8637728d945b5a1042a4f18fad779 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T03:01:42Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-36f8637728d945b5a1042a4f18fad7792023-11-23T10:41:58ZengMDPI AGDiagnostics2075-44182022-05-01125128110.3390/diagnostics12051281Lipomatous Tumors: A Comparison of MRI-Reported Diagnosis with Histological DiagnosisTobias M. Ballhause0Alexander Korthaus1Martin Jahnke2Karl-Heinz Frosch3Jin Yamamura4Tobias Dust5Carsten W. Schlickewei6Matthias H. Priemel7Department of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyLipomatous tumors are among the most common soft tissue tumors (STTs). Magnetic resonance imaging (MRI) is a state-of-the-art diagnostic tool used to differentiate and characterize STTs. Radiological misjudgment can lead to incorrect treatment. This was a single-center retrospective study. Two hundred and forty lipomatous tumors were included. MRI diagnoses were categorized as benign, intermediate, or malignant and were compared with histological diagnoses. Tumor volumes were measured by MRI and from surgical specimens. The tumor was correctly categorized 73.3% of the time. A total of 21.7% of tumors were categorized as more malignant in MRI reports than they were by histology, and vice versa for 5.0% of tumors. Volume measured by MRI was not different from actual tumor size in pathology. Atypical lipomatous tumors (ALTs) and liposarcomas (LPSs) were larger when compared with lipomata and occurred in older patients. Based on the MRI-suspected tumor entity, surgical treatment can be planned. Large lipomatous tumors in elderly patients are more likely to be ALTs. However, a safe threshold size or volume for ALTs cannot be determined.https://www.mdpi.com/2075-4418/12/5/1281lipomaliposarcomasarcomasoft tissue tumoratypical lipomatous tumorMRI |
| spellingShingle | Tobias M. Ballhause Alexander Korthaus Martin Jahnke Karl-Heinz Frosch Jin Yamamura Tobias Dust Carsten W. Schlickewei Matthias H. Priemel Lipomatous Tumors: A Comparison of MRI-Reported Diagnosis with Histological Diagnosis Diagnostics lipoma liposarcoma sarcoma soft tissue tumor atypical lipomatous tumor MRI |
| title | Lipomatous Tumors: A Comparison of MRI-Reported Diagnosis with Histological Diagnosis |
| title_full | Lipomatous Tumors: A Comparison of MRI-Reported Diagnosis with Histological Diagnosis |
| title_fullStr | Lipomatous Tumors: A Comparison of MRI-Reported Diagnosis with Histological Diagnosis |
| title_full_unstemmed | Lipomatous Tumors: A Comparison of MRI-Reported Diagnosis with Histological Diagnosis |
| title_short | Lipomatous Tumors: A Comparison of MRI-Reported Diagnosis with Histological Diagnosis |
| title_sort | lipomatous tumors a comparison of mri reported diagnosis with histological diagnosis |
| topic | lipoma liposarcoma sarcoma soft tissue tumor atypical lipomatous tumor MRI |
| url | https://www.mdpi.com/2075-4418/12/5/1281 |
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