Presentation
Nodule hard and painful, with rapid growth.
Patient Data
Age: 60 years
Gender: Female
From the case:
Myxofibrosarcoma - intermediate-high grade
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Focal abnormal infiltration high signal along the deep muscular fascia between the muscle fibers with “tail sign”.
The lesion has an isointense signal in T1, weakly hyperintense in T2 and hyperintense in the STIR sequences.
After contrast, it shows intense contrast enhancement.
From the case:
Myxofibrosarcoma - intermediate-high grade
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Tail sign.
From the case:
Myxofibrosarcoma - intermediate-high grade
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Histological report after surgical removal
Case Discussion
Infiltrative growth pattern or tail growth, a primary feature of superficial myxofibrosarcoma and is associated with a high risk of positive margins and local recurrence.