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Liposarcoma or lipoma: does genetics change classic imaging criteria?
Bidault F., Vanel D., Terrier P., Jalaguier A., Bonvalot S., Pedeutour F., Couturier J.M., Dromain C.
European Journal of Radiology 72, 1 (2009) 22-6 - http://hal.archives-ouvertes.fr/hal-00437674
Articles dans des revues avec comité de lecture
Sciences du Vivant/Biologie du développement
Liposarcoma or lipoma: does genetics change classic imaging criteria?
F. Bidault ( ) 1, D. Vanel 2, Ph Terrier 3, A. Jalaguier 3, S. Bonvalot 4, F. Pedeutour 5, J. M. Couturier 6, C. Dromain 2
1 :  Département de radiothérapie
Institut Gustave Roussy
Villejuif
France
2 :  Institut Gustave Roussy (IGR)
http://www.igr.fr/
Institut Gustave Roussy
39, rue Camille Desmoulins 94805 Villejuif
France
3 :  Département de Biologie et pathologie médicale
Institut Gustave Roussy
94800 Villejuif
France
4 :  Laboratoire des Mécanismes et Transfert en Géologie (LMTG)
http://www.lmtg.obs-mip.fr/
CNRS : UMR5563 – Observatoire Midi-Pyrénées – Université Paul Sabatier [UPS] - Toulouse III – Institut de recherche pour le développement [IRD] : UMR154
14 avenue Edouard Belin 31400 Toulouse
France
5 :  Institut de signalisation, biologie du développement et cancer (ISBDC)
http:// www.unice.fr/ISDBC
CNRS : UMR6543 – Université Nice Sophia Antipolis [UNS]
Centre Antoine lacassagne 33 Avenue de volombrose 06189 NICE CEDEX 2
France
6 :  Service de Génétique Oncologique
Institut Curie – Université Paris V - Paris Descartes
26 rue d'Ulm 75248 Paris cedex 05
France
Differentiating benign from malignant fatty tumours has always been very difficult for both radiologists and pathologists. Cytogenetic and molecular genetic analyses provide complementary tools for differentiating soft tissue tumours. Our objective was to compare imaging criteria of malignancy with a new diagnostic gold standard, namely, pathological analysis combined with cytogenetic and molecular genetic analyses. Nineteen patients with a fatty tumour were included. All had computed tomography and/or magnetic resonance imaging examination before any biopsy or surgery. All had histopathological and cytogenetic and/or molecular genetic analyses. The imaging diagnosis of benign or malignant lesions was accurate in 15 cases, with 4 false positives for malignancy. Erroneous criteria were a large size (4 cases), and a mass that was not purely fatty. In conclusion, the main pitfall for a false positive radiological diagnosis of liposarcoma is certainly a large-sized tumour. Cytogenetic and molecular genetic analyses contribute to the diagnosis and can be performed at the same time with a core biopsy.
Anglais
2009

European Journal of Radiology (Eur J Radiol)
Publisher Elsevier
ISSN 0720-048X 
internationale
10/2009
13/06/2009
72
1
22-6