Soft Tissue Tumors Classification
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Questions and Answers

Which type of sarcoma is typically associated with a simple karyotype and a monomorphic microscopic appearance?

  • Undifferentiated pleomorphic sarcoma
  • Liposarcoma
  • Ewing sarcoma (correct)
  • Leiomyosarcoma

What is the approximate percentage of sarcomas that have a complex karyotype with multiple chromosomal gains and losses?

  • 15-20%
  • 80-85% (correct)
  • 90-95%
  • 50-60%

Which of the following is NOT a feature of sarcomas with a complex karyotype?

  • Microscopically pleomorphic
  • Demonstrate multiple chromosomal gains and losses
  • More common in children (correct)
  • Aneuploid or polyploid

Which of the following is a potential molecular target for diagnosis and therapy of sarcomas?

<p>Tumor-specific fusion proteins (C)</p> Signup and view all the answers

What is the main prognostic factor for sarcomas, according to the information provided?

<p>Tumor grade (B)</p> Signup and view all the answers

Which parameter is used to grade tumors based on differentiation, mitoses, and necrosis?

<p>Degree of necrosis (D)</p> Signup and view all the answers

What is the most common subtype of benign tumors of fat in adults?

<p>Lipomas (D)</p> Signup and view all the answers

What is a common presentation of lipomas?

<p>Mobile, slowly enlarging, painless masses (D)</p> Signup and view all the answers

Where do liposarcomas typically occur?

<p>In the retroperitoneum (B)</p> Signup and view all the answers

Which parameter is used to stage tumors according to their size?

<p>Tumor dimension (A)</p> Signup and view all the answers

Which of the following is NOT a tumor of adipose tissue?

<p>Fibrosarcoma (C)</p> Signup and view all the answers

Which type of sarcoma is commonly seen in children?

<p>Rhabdomyosarcoma (D)</p> Signup and view all the answers

Which of the following tumors is associated with human herpesvirus 8 (HHV8) infection?

<p>Kaposi sarcoma (B)</p> Signup and view all the answers

Which of the following genetic syndromes is associated with neurofibroma and malignant schwannoma?

<p>Neurofibromatosis type 1 (C)</p> Signup and view all the answers

Which of the following is the most characteristic feature of well-differentiated liposarcoma/atypical lipomatous tumor?

<p>Presence of lipoblasts with cytoplasmic lipid vacuoles that scallop the nucleus (D)</p> Signup and view all the answers

Which of the following statements about soft tissue tumors is correct?

<p>They are classified based on lines of differentiation, such as fat, fibrous tissue, and neural or vascular tissues. (C)</p> Signup and view all the answers

Which of the following is the most characteristic genetic alteration seen in myxoid liposarcoma?

<p>t(12;16) FUS-DDIT3 fusion (C)</p> Signup and view all the answers

Which of the following liposarcoma subtypes has the worst prognosis?

<p>Pleomorphic liposarcoma (B)</p> Signup and view all the answers

What is the typical location of well-differentiated liposarcoma and dedifferentiated liposarcoma?

<p>Deep soft tissues of extremities or in the retroperitoneum (B)</p> Signup and view all the answers

What is the most characteristic feature of nodular fasciitis?

<p>Self-limited fibroblastic proliferation (C)</p> Signup and view all the answers

Which type of fibromatosis is typically found in the abdomen, abdominal wall, and muscles of the trunk and extremities?

<p>Deep fibromatosis (desmoid tumors) (A)</p> Signup and view all the answers

What is the typical histological appearance of fibromatoses?

<p>Plump spindle cells arranged in broad sweeping fascicles that penetrate the adjacent tissue (C)</p> Signup and view all the answers

Which type of fibromatosis is associated with Dupuytren contracture and Peyronie disease?

<p>Superficial fibromatosis (B)</p> Signup and view all the answers

What is the typical clinical presentation of fibromatoses?

<p>Rapidly growing, solitary masses on the volar aspect of the forearm, chest, or back (D)</p> Signup and view all the answers

Which genetic mutations are often found in deep fibromatoses (desmoid tumors)?

<p>Mutations in the APC or β-catenin genes (D)</p> Signup and view all the answers

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