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General and Systemic Histopathology, C601&C602
     
    Slide 125: Fibrosarcoma of Bone
     
     
    There are only a few small fragments of bone on this slide.  It's mostly tumor.  Look in the areas that are most cellular for the features characteristic of this tumor.  Among other things, the degree of collagen production tells the nature of this malignancy.

    See this slide with the virtual microscope.

    This is a very anaplastic lesion, as is the case with many sarcomas. Yes it would very difficult to tell the origin of this lesion if it weren't on the list of diagnosis. Note how some cells are spindle shaped and have elongated nuclei, this is one of the diagnostic tips that this a malignancy of fibroblast origin. You should see many mitoses and some even with tripolar metaphases. This tumor can arise in practically any soft tissue and I cannot say for sure if this one is primary in the bone or metastatic.


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