Skip to main content

Advertisement

SpringerLink
Log in

Primary giant cell tumor of soft tissue: fluid-fluid levels at MRI (2010:3b)

  • Interpretation Corner
  • Published:
European Radiology Aims and scope Submit manuscript

Abstract

Purpose

Giant cell tumor of soft tissue (GCT-ST) is an extremely rare lesion with an unpredictable behavior. The histological appearance closely resembles that of giant cell tumor of bone and, as such, has been characterized as the soft-tissue equivalent.

Materials and methods

We describe the clinical, histological and radiological features of an unusual magnetic resonance imaging (MRI) and deep intramuscular location of GCT–ST with fluid-fluid levels (FFLs) simulating other soft tissue tumors or a hydatid cyst in a 52-year-old man. The lesion was resected.

Results

Neither metastasis nor recurrence has occurred in the 6-month period since resection. A review of the literature did not reveal any similar description of intramuscular GCT-ST.

Conclusion

GCT-ST should be included in the differential diagnosis of soft tissue tumors with FFLs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Mardy K, Sharma J (2007) Primary giant cell of soft parts–Report of case with fine needle aspiration cytology and hystology findings. J Cytol 24:58–59

    Article  Google Scholar 

  2. Ardakani AS, Mohammadizadeh F (2006) Giant cell tumour of soft tissue in groin region, clinically diagnosed as inguinal lymphadenopathy. JRMS 11:418–422

    Google Scholar 

  3. O’Connell JX, Wehrli BM, Nielsen GP, Rosemberg AE (2000) Giant cell tumours of soft tissue. A clinicopathologic study of 18 benign and malignant tumours. Am J Surg Pathol 24:386–395

    Article  PubMed  Google Scholar 

  4. Oliveira AM, DeTos AP, Fletcher CDM, Nascimento AG (2000) Primary giant cell tumour of soft tissues. A study of 22 cases. Am J Surg Pathol 24:248–256

    Article  CAS  PubMed  Google Scholar 

  5. Ichikawa K, Tanino R (2004) Soft tissue giant tumour of low malignant potencial. Tokai J Exp Clin Med 29:91–95

    Google Scholar 

  6. Dodd LG, Major N, Brigman B (2004) Malignant giant cell tumour of soft parts. Skeletal Radiol 33:295–299

    Article  PubMed  Google Scholar 

  7. Folpe AL, Morris RJ, Weiss SW (1999) Soft tissue giant cell tumour of low malignant potential: a proposal for the reclassification of malignant giant cell tumour of soft parts. Mod Pathol 12:894–902

    CAS  PubMed  Google Scholar 

  8. Guccion JG, Ezinger FM (1972) Malignant giant cell tumour of soft parts. An analysis of 32 cases. Cancer 29:1518–1529

    Article  CAS  PubMed  Google Scholar 

  9. Chand K, Bhardwaj RK, Rappai TJ (2006) Study of seven cases of giant cell tumour of soft tissue. MJAFI 62:138–140

    Google Scholar 

  10. Tarhan NC, Tuncay IC, Barutcu O, Deminors H, Agildere AM (2002) Unusual presentation of an infected primary hydatid cyst of biceps femoris muscle. Skeletal Radiol 31:608–611

    Article  CAS  PubMed  Google Scholar 

  11. Comert RB, Aydingoz U, Ucaner A, Arikan M (2003) Water-lily sign on MRI of primary intramuscular hydatidosis of sartorius muscle. Skeletal Radiol 32:420–423

    Article  CAS  PubMed  Google Scholar 

  12. García-Díez AI, Ros Mendoza LH, Villacampa VM, Cózar M, Fuertes MI (2000) MRI evaluation of soft tissue hydatid disease. Eur Radiol 10:462–466

    Article  PubMed  Google Scholar 

  13. Merkle EM, Schulte M, Vogel J, Tomczak R, Rieber A, Kern P et al (1997) Musculoskeletal involvement in cystic echinococcosis: report of eight cases and review of the literature. AJR 168:1531–1534

    CAS  PubMed  Google Scholar 

  14. Van Dyck P, Vanhoenacker FM, Vogel J, Venstermans C, Kroon HM, Gielen J et al (2006) Prevalence, extension and characteristics of fluid-fluid levels in bone and soft tissue tumours. Eur Radiol 16:2644–2651

    Article  PubMed  Google Scholar 

  15. Alyas F, Saifuddin A (2008) Fluid-fluid levels in bone neoplasms: variation in T1 weighted signal intensity of the superior to inferior layers-diagnostic significance on magnetic resonance imaging. Eur Radiol 18:2642–2651

    Article  PubMed  Google Scholar 

  16. Keenan S, Bui-Mansfield LT (2006) Musculoskeletal lesions with fluid-fluid level: a pictorial essay. J Comput Assist Tomogr 30:517–524

    Article  PubMed  Google Scholar 

  17. An SB, Choi JA, Chung JH, Oh JH, Kang HS (2008) Giant cell tumor of soft tissue: a case with atypical US and MRI findings. Korean J Radiol 9:462–465

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Servicio de Radiodiagnóstico, Hospital de Cabueñes, Asturias, Spain

    Ana Rosa Meana Moris, Pedro García Gonzalez & Carmen Gonzalez Suarez

  2. Servicio de Anatomia Patologica, Hospital de Cabueñes, Asturias, Spain

    Eduardo Fuente Martin

  3. Servicio de Cirugia Ortopedica y Traumatología, Hospital de Cabueñes, Asturias, Spain

    Luis Moro Barrero

  4. Avda. Jardin Botánico 622, Urb. La Guia 56, 33203 , Gijon, Asturias, Spain

    Ana Rosa Meana Moris

Authors
  1. Ana Rosa Meana Moris
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pedro García Gonzalez
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Eduardo Fuente Martin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Carmen Gonzalez Suarez
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Luis Moro Barrero
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ana Rosa Meana Moris.

Additional information

Precisely correct answer was received by closing date from:

Narendrakumar P. Patel, Newburgh, NY, USA

David Nucci, Grosseto, Italy

Rights and permissions

Reprints and permissions

About this article

Cite this article

Meana Moris, A.R., García Gonzalez, P., Fuente Martin, E. et al. Primary giant cell tumor of soft tissue: fluid-fluid levels at MRI (2010:3b). Eur Radiol 20, 1539–1543 (2010). https://doi.org/10.1007/s00330-009-1528-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00330-009-1528-x

Keywords

Search

Navigation