Key result
Wide local excision of a long-standing leg mass in a 20-year-old female revealed spindle cell sarcoma on postoperative histopathological examination, despite preoperative benign cytology.
Why the study?
Spindle cell sarcoma of the lower limb is a rare tumor that presents diagnostic and therapeutic challenges.
Case Report (n=1)
No
Highlights the diagnostic challenge of spindle cell sarcoma, which can mimic benign lesions or vascular malformations on initial evaluation.
Benign cytology may miss sarcoma in persistent leg masses; this case leaves open the role of routine histopathology after excision.
Spindle cell sarcoma of the lower limb is a rare tumor. It remains a diagnostic as well as a therapeutic challenge to identify and successfully treat a case of spindle cell sarcoma as the tumor can be notorious sometimes. The current study presents a case of spindle cell sarcoma with clinical, imaging and pathological examination. A 20-year-old female presented to the surgery OPD of Rajendra Institute of Medical Sciences, Ranchi suffering from a mass on the posteromedial aspect of her left leg for approximately four years. Imaging examination by leg computed tomography angiogram scan revealed a large thrombosed arterio-venous malformation. The patient underwent wide local excision of the mass. Pre operative ne needle aspiration cytology examination revealed benign spindle cell mass. The swelling was excised under anaesthesia. Post op histopathological examination was done which revealed spindle cell sarcoma
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Sinha et al. (2022) conducted a case report in Spindle cell sarcoma (n=1). Wide local excision was evaluated. Wide local excision of a long-standing leg mass in a 20-year-old female revealed spindle cell sarcoma on postoperative histopathological examination, despite preoperative benign cytology.
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