Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 7430

In scope icon N/A E
QID 7430 (Type "7430" in App Search)
A 37-year-old man reports a 6-month history of a slowly enlarging mass in the right medial thigh that has recently become painful. He denies any history of trauma. Examination reveals the lesion is firm and deep-seated, and moderately tender to palpation. Figures 42a through 42c show a T1-weighted axial MRI scan, a gadolinium fat saturation axial MRI scan, and a sagittal T2-weighted MRI scan, respectively. Based on the MRI characteristics, what is the most likely diagnosis?
  • A
  • B
  • C

Synovial cell sarcoma

3%

16/526

Extra-skeletal chondrosarcoma

1%

7/526

High-grade spindle cell sarcoma

3%

15/526

Liposarcoma

86%

451/526

Rhabdomyosarcoma

6%

33/526

  • A
  • B
  • C

Select Answer to see Preferred Response

bookmode logo Review TC In New Tab

The T1-weighted scan reveals a lesion that contains a large amount of fat signal (bright), suggesting a fatty tumor of some kind. The gadolinium image similarly has large areas that are dark from the fat saturation, which reinforces that the lesion contains fat, although there are some areas of enhancement within the lesion that suggest more than just simple fat is present. The sagittal T2-weighted image confirms the presence of edematous tissue within the mass, suggesting that this lesion is most likely a liposarcoma, one of the most common soft-tissue sarcomas. The other lesions listed do not have any distinguishing MRI characteristics. Synovial cell sarcomas are often cystic in nature and do not contain significant amounts of fat.

Authors
Rating
Please Rate Question Quality

2.4

  • star icon star icon star icon
  • star icon star icon star icon
  • star icon star icon star icon
  • star icon star icon star icon
  • star icon star icon star icon

(9)

Attach Treatment Poll
Treatment poll is required to gain more useful feedback from members.
Please enter Question Text
Please enter at least 2 unique options
Please enter at least 2 unique options
Please enter at least 2 unique options