Soft Tissue Tumors

Soft Tissue Tumors

Soft tissue tumor and sarcoma types are determined by the way a sample of cells from the tumor looks under a microscope. A surgeon will obtain the sample during a biopsy or during surgery to remove the tumor.

Soft Tissue Tumors and Sarcomas We Treat

Giant Cell Tumor of Tendon Sheath
Giant cell tumor of tendon sheath is defined as a benign reactive lesion which is similar to PVNS. It is a slowly growing and painless lesion of soft tissues. Second most common tumor of the hand and commonly affects individuals between 30 and 50 years old.
Lipoma
A lipoma usually appears as slow growing, soft, asymptomatic mass. Larger lipomas can give symptoms related to the compression of peripheral nerves. Some patients may have multiple lipomas. Factors which can lead to lipoma include: diabetes, elevated serum cholesterol level, blunt, bruising injuries, obesity and radiation.
Liposarcoma
Liposarcoma is one of the most commonly diagnosed soft tissue sarcoma, accounting for approximately 12.8% of all sarcomas. Most patients are older than 50 years of age who complain of a large, painless, deep-seated mass located proximally in the extremities.
Low-Grade Liposarcoma
The most common is well-differentiated liposarcoma, low-grade tumors whose cells look like normal fat cells and grow slowly.
Myxoid Liposarcoma
Liposarcoma is one of the most commonly diagnosed soft tissue sarcomas, accounting for approximately 12.8% of all sarcomas. Most patients are older than 50 years of age who complain of a large, painless, deep-seated mass located proximally in the extremities.
Round Cell Liposarcoma
A high grade (fast growing) type of fatty sarcoma that develops in the soft tissues of the arms and legs, usually external to the bones in the muscles or surrounding tissues. The tumor is composed of fatty cells (lipo-) and other cells which have a round appearance. This type of tumor is treated with surgery and often radiation. Sometime chemotherapy and other types of clinical trials or medication may be recommended. Round cell sarcomas are thought to develop from myxoliposarcoma or contain a component of myxoliposarcoma.
Pleomorphic Liposarcoma
A high grade (fast growing) type of fatty sarcoma that develops in the soft tissues of the arms and legs, usually external to the bones in the muscles or surrounding tissues. The tumor is composed of fatty cells (lipo-) and other types of cells that have different sizes and shapes (pleomorphic). This type of tumor is treated with surgery and often radiation. Sometime chemotherapy and other types of clinical trials or medication may be recommended.
Dedifferentiated Liposarcoma
Dedifferentiated liposarcoma is one of the most commonly diagnosed soft tissue sarcomas, accounting for approximately 12.8% of all sarcomas. Most patients are older than 50 years of age and most patients complain of a large, painless, deep-seated mass usually located proximally in the extremities.
Malignant Fibrous Histiocytoms
Rapidly enlarging, painless mass. 30% of patients may have dull aching pain or tenderness. Some patients report trauma in the affected area (trauma does not cause MFH) and the MFH may be misconstrued as a hematoma or muscle strain. Systemic symptoms are not expected.
Schwannoma
Typically, a painful mass particularly when pressure applied to mass; Can also be painless. Patients sometimes complain of referred pain in the distribution of the involved nerve.
Pigmented Vilonodular Synovitis
This is a slow growing mass which may cause insidious onset of pain. It may be tender to palpation. In long-standing cases there may be destruction of cartilage, secondary degenerative change and pain characteristically in diffuse PVNS. More frequently present with catching, locking and instability.
Synovial Chondromatosis
Synovial chondromatosis is an uncommon, benign, process that occurs in large joints, such as the knee (50%), hip, elbow, or shoulder. This process mainly affects synovium and hence most commonly arises from joints and tendons which are lined by synovium. Synovial Chondromatosis may also affect bursae and extend into surrounding soft tissues.
Synovial Sarcoma
A slow growing, palpable and often painful mass. Symptoms may be present from days to as long as 20 years before initial diagnosis. Generally presents at a younger age than other soft tissue sarcomas.

Other Soft Tissue Tumors We Treat

  • Angiolipoma
  • Angiosarcoma
  • Calcifying Aponeurotic Fibroma
  • Clear Cell Sarcoma (Melanoma of Soft Parts)
  • Dermatofibrosarcoma Protuberans (DFSP)
  • Elastofibroma
  • Extraskeletal Chondrosarcoma
  • Extraskeletal Ewing Sarcoma
  • Fibromatosis
  • Fibroma of Tendon Sheath
  • Fibrosarcoma (Adult Type)
  • Fibrous Hamartoma of Infancy
  • Hibernoma
  • Hyaline Fibromatosis
  • Infantile Fibromatosis
  • Leiomyosarcoma
  • Pleomorphic Liposarcoma
  • Low Grade Fibromyxoid Sarcoma
  • Lymphangioma
  • Malignant Peripheral Nerve Sheath Tumor
  • Myofibroma
  • Myositis Ossificans 
  • Myxoma
  • Nodular Fasciitis
  • Plantar Fibromatosis 
  • Proliferative Fasciitis 
  • Proliferative Myositis 
  • Neurofibroma
  • Rhabdomyosarcoma
  • Solitary Fibrous Tumor of the Soft Tissue 
  • Tumor Calcinosis 

 


I can't possibly thank Dr. Wittig and his excellent staff enough for their care of my mother. Dr. Wittig is a highly-skilled surgeon... and he's down-to-earth, compassionate and patient as well.

Son of an Orthopedic Oncology Patient