Marginal Excision of Atypical Lipoma of the Forearm.
Mada Sai Krishna, Polisetty V Shyam Prasad, Krishna Chaitanya Reddy Yerraguntla et al.
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Case in brief
A 36-year-old woman had an atypical lipomatous tumor of the forearm, a well-differentiated liposarcoma described as locally aggressive but not typically metastatic. She underwent marginal excision, and no recurrence was evident at medium-term follow-up. The report supports marginal excision as an accepted management approach when there is no neurovascular encroachment.
What made this case unusual
The report addresses a management controversy: some authors advocate en bloc excision, whereas this patient had marginal excision without evidence of recurrence at medium-term follow-up.
Diagnostic / clinical pearl
For an atypical lipomatous tumor of the forearm without neurovascular encroachment, marginal excision may be an accepted option; the report does not establish this approach for tumors with such encroachment.