Table 1 Characteristics of patients, MRI, and histopathological findings.

From: A scoring system combining clinical, radiological, and histopathological examinations for differential diagnosis between lipoma and atypical lipomatous tumor/well-differentiated liposarcoma

 

ALT/WDLS (N = 56)

Lipoma (N = 89)

p value

Clinical findings

Age

  

 < 0.001

 Median (range)

64.0 ± 13.29 (30–87)

55.7 ± 14.60 (18–83)

 

Sex: n (%)

  

0.547

 Male

32 (57.1%)

45 (50.6%)

 

 Female

24 (42.9%)

44 (49.4%)

 

Symptoms: n (%)

6 (10.7%)

4 (4.5%)

0.150

Tumor site: n (%)

  

 < 0.0001

 Upper limb

5 (8.9%)

29 (32.6%)

 

 Lower limb

39 (69.7%)

24 (27.0%)

 

 Other

12 (21.4%)a

36 (40.4%)b

 

Tumor depth: n (%)

  

 < 0.0001

 Superficial

0 (0%)

29 (32.6%)

 

 Deep

56 (100%)

60 (67.4%)

 

Tumor size (cm)

  

 < 0.0001

 Median

17.2 ± 6.7

9.7 ± 4.2

 

MRI findings: n (%)

Thick septa (> 2 mm)

52 (92.9%)

52 (58.4%)

 < 0.0001

Enhancement (septa and/or nodular lesions) (n = 20)

20 (100%)

4 (20.0%)

 < 0.0001

Neurovascular involvement

5 (8.9%)

1 (1.1%)

0.023

Histopathological findings: n (%)

Nuclear atypia

10 (17.9%)

0 (0%)

 < 0.0001

Nuclear enlargement

26 (46.4%)

8 (9.0%)

 < 0.0001

Difference in size of adipocytes

26 (46.4%)

24 (27.0%)

0.016

Proliferation of fibrous septa

2 (3.6%)

3 (3.4%)

0.949

Lipoblasts

11 (19.6%)

1 (1.1%)

 < 0.0001

FISH: positive number / n = total number (%)

MDM2

37/n = 46 (80.4%)

0/n = 73 (0%)

 < 0.0001

CDK4

18/n = 33 (54.5%)

0/n = 49 (0%)

 < 0.0001

  1. aneck (n = 4), chest (n = 2), retroperitoneum (n = 2), and back (n = 2).
  2. bneck (n = 15), chest (n = 13), back (n = 6), and abdomen (n = 2).
  3. MRI magnetic resonance imaging, ALT atypical lipomatous tumor, WDLS well-differentiated liposarcoma, FISH Fluorescence in Situ Hybridization, MDM2 murine double-minute 2, CDK4 cyclin-dependent kinase 4.