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New Indian Journal of Surgery

Volume  10, Issue 6, November-December 2019, Pages 623-626
 

Case Report

Intramuscular Myxomas: A Potential Diagnostic Dilemma

Aditya Ghatnekar1, Amit Parasnis2, Saurabh Thakkar3, Shweta Achuthan Kutty4

1Assistant Professor, 2Professor, 3Lecturer, 4Resident, Department of General Surgery, Dr. D.Y. Patil Medical College and Hospital, 411018, Pimpri, Pune, Maharashtra, India.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10619.12

Abstract

Intramuscular myxomas are rare benign soft tissue tumors of mesenchymal origin. They show areas of increased cellularity and vascularity that can lead to a mistaken diagnosis of sarcoma, especially myxofibrosarcoma, low-grade fibromyxoid sarcoma, and myxoid liposarcoma. FNAC of such a tumor is inconclusive as it may show just myxoid stroma or hypercellularity depending on whether the hypercellular portion or myxoid portion is sampled which further impedes diagnosis. Hence, total surgical exision followed by histopathological examination of the tumor is the gold standard. Their recognition is important to avoid an erroneous diagnosis of sarcoma.2 Surgery is always curative and recurrence is rare. This is a case report of 55 years old male presenting with such a tumor.

Keywords: Intramuscular myxoma; Myxomas.


Corresponding Author : Amit Parasnis