Evidence map›Paper›PMID 41216078›Full record

ArticleCureus2025

Imaging Findings of Atypical Spindle Cell/Pleomorphic Lipomatous Tumors: A Case Series and Systematic Review.

Masaya Kawaguchi, Hiroki Kato, Akihito Nagano, Natsuko Suzui, Tatsuhiko Miyazaki, Shingo Omata, Yoshifumi Noda, Abdelazim E Elhelaly, Hirohiko Imai, Masayuki Matsuo

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Masaya KawaguchiDepartment of Radiology, Gifu University, Gifu, JPN.
Hiroki KatoDepartment of Radiology, Gifu University, Gifu, JPN.
Akihito NaganoDepartment of Orthopaedic Surgery, Gifu University Hospital, Gifu, JPN.
Natsuko SuzuiDepartment of Pathology, Gifu University Hospital, Gifu, JPN.
Tatsuhiko MiyazakiDepartment of Pathology, Gifu University Hospital, Gifu, JPN.
Shingo OmataDepartment of Radiology, Gifu University, Gifu, JPN.
Yoshifumi NodaDepartment of Radiology, Gifu University, Gifu, JPN.
Abdelazim E ElhelalyDepartment of Radiology, Gifu University, Gifu, JPN.
Hirohiko ImaiDepartment of Radiology, Gifu University, Gifu, JPN.
Masayuki MatsuoDepartment of Radiology, Gifu University, Gifu, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to examine the CT and MRI features of atypical spindle cell/pleomorphic lipomatous tumors (ASCPLTs) through a case series and systematic review. A literature search was conducted using MEDLINE and Scopus databases, covering the period from January 1, 2017, to June 9, 2025. The following keywords were used: ("atypical spindle cell lipomatous tumor") OR ("atypical pleomorphic lipomatous tumor") OR ("atypical spindle cell/pleomorphic lipomatous tumor"). The study included five patients from our institution with histopathologically and immunohistochemically confirmed ASCPLTs, along with 18 additional cases identified from 18 published articles. Imaging findings were reviewed retrospectively. A total of 23 patients with ASCPLTs were analyzed (14 male patients and nine female patients; median age, 60 years; age range, 13-87 years). The median lesion size was 115 mm. Fourteen lesions (61%) were superficial, and nine (39%) were deep. Tumor margins appeared well-defined in 20 (87%) cases and ill-defined in three (13%) cases. A capsule was identified on T2-weighted images in 9/12 (75%) cases. Fatty and non-fatty components were observed in 14/18 (78%) and 15/18 (83%) cases, respectively, with non-fatty components predominating in 13/18 (72%) cases. Imaging patterns were classified as follows: atypical lipomatous tumors in 3/17 (18%) cases, spindle cell lipoma in 3/17 (18%), myxoid liposarcoma in 5/17 (30%), dedifferentiated liposarcoma in 4/17 (22%), and undifferentiated pleomorphic sarcoma in 2/17 (12%). Key imaging characteristics of ASCPLTs included large size (>100 mm), superficial location, well-defined margins, presence of a capsule, and predominance of non-fatty components. While ASCPLTs frequently contained fat, their imaging presentations varied widely.

Indexed as

atypical spindle cell/pleomorphic lipomatous tumor (ascplt)ctmrisoft-tissue tumorsystematic review

Identifiers

PMID41216078
PMCPMC12596547

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.