Site search clinical pathological correlations > current correlation > diagnosis and discussion the patient is an 80 year old woman who presented with an enlarging right thigh mass over at least the past six months.
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The patient has limited mobility and reported to her doctor when it became uncomfortable to sit. best place buy viagra online uk
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She now presents for resection of the thigh mass. viagra generic 2012
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Clinical image: x-ray right femur figure 1: gross photo of tumor cut section figure 2: microscopic h&e section of tumor with 20x objective. long does viagra daily take work
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Figure 3: selected immunohistochemical stains.
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Desmin (left), myogenin (right).
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Diagnosis: skin and soft tissue, right thigh "mass," resection: - pleomorphic rhabdomyosarcoma, 30 cm, present at resection margin discussion: the tumor in this case showed a varied histologic appearance ranging from sheets to fascicles of spindle to more rhabdoid cells (figure 2).
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There were also abundant areas of necrosis with greatly pleomorphic nuclei. best place buy viagra online uk The differential diagnosis based on the clinical and histologic findings included pleomorphic sarcomas such as undifferentiated pleomorphic sarcoma (ups), pleomorphic leiomyosarcoma (plms), pleomorphic rhabdomyosarcoma (prms), and pleomorphic/dedifferentiated liposarcoma (plps/ddlps)as well as tumors that may contain foci of heterologous striated muscle differentiation such as malignant peripheral nerve sheath tumor (mpnst)/triton tumor, dedifferentiated liposarcoma, and metastasis from metaplastic carcinoma. average dose for viagra Finally, malignant melanoma can have varied morphologic features and enters the differential diagnosis in this case.
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Preliminarily the tumor was classified as an undifferentiated pleomorphic sarcoma and immunohistochemical studies were carried out to determine if there was a specific tumor differentiation. can you get viagra walmart The tumor was negative for s-100, and this combined with a lack of clinical history of melanoma, essentially ruled that out of our differential. best place buy viagra online uk Mpnst is also less likely, although s-100 in mpnst can be weak and focal.
However, the operative report indicated that there was no connection to a major nerve, and these.
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