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A 75-year-old male presents with a slowly enlarging, painless thigh mass. Physical exam demonstrates a mass measuring approximately 7 cm in size. Figure A and B demonstrate a T1-weighted MRI and T2-weighted MRI respectively. The histologic findings from a biopsy are shown in Figure C. Which of the following is the most likely diagnosis.
Undifferentiated Pleomorphic Sarcoma
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HPI - Patient felt a mass about 6 months ago in her left gluteal area. Diagnostic work-up with Ultrasound, CT and MRI lead to biopsy with extraosseous pleomorphic sarcoma as the result of histology. Patient is currently status post resection of the tumor, mobilised with a G apparatus. Feels instability and pain in the area of the resection.
Is reconstruction of pelvic ring warranted and if so, what kind?