Proper characterization of a fat-containing mass on MRI requires careful evaluation of lesion complexity on T1 weighted imaging
Lipomas are the most commonly encountered mesenchymal tumors
Lipomas typically consist of encapsulated homogenous fat, similar to adjacent subcutaneous fat
Some lipomas demonstrates few, thin septations and other nonlipomatous elements
Lipoma variants and fat necrosis can resemble well-differentiated liposarcomas on MRI
Well-differentiated liposarcomas often demonstrate thickened (greater than 2 millimeters), irregular, enhancing septations and nonlipomatous globular and/or nodular areas
A focal, nonlipomatous mass seen within or adjacent to a well-differentiated liposarcoma suggests a dedifferentiated liposarcoma
Disclosure
Introduction
Benign Lipomatous Tumors
Lipoma
Lipoma Variants
Lipomatous Tumors
Infiltrating Lipoma
Hibernoma
Malignant Lipomatous Tumors
Well-Differentiated Liposarcoma
Dedifferentiated Liposarcoma
Myxoid Liposarcoma
Pleomorphic Liposarcoma
Conclusion
References
Potti, T,
Pacholke, D,
Spectrum of Fat-Containing Soft Tissue Masses on MRI: The Common, the Characteristic, and the (Sometimes) Confusing. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14005225.html