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11-28-2009, 04:18 PM
FIBROSARCOMA
Definition: Spindle cell sarcoma.
Incidence: Any age but more at 3rd & 4th decades.
Common sites: Common in extremities.
Clinical picture
1- Takes the shape of muscle in which it arise.
2- Usually it shows slow growth of firm, not tender swelling with no or minimal pain.
3- Anaplastic fibrosarcoma may grow rapidly may be painful with variable consistency hard or soft in the center.
4- It tend to infiltrate superficial structures earlier than deep.
5- Dermato fibrosarcoma and periosteal fibrosarcoma shows diff. Cl. Picture.
Treatment:
Early  Excision of the whole involved muscle with surrounding tissues.
Late  Amputation is indicated for big lesions.
SOURCE: Prof. AYMAN SALEM'S BOOK
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