血管脂肪瘤

 脂肪细胞之间的细胞是诊断的关键，到底是血管腔还是CD34阳性的树突细胞，我倾向于前者

 梭形细胞脂肪瘤

 梭形细胞脂肪瘤.

 血管脂肪瘤

 直径1.0cm包膜完整的肿块,形态结构比较符合梭形细胞脂肪瘤.

 Spindle cell lipoma or pleomorphic lipoma in WHO soft tissue tumour

 血管脂肪瘤

The photos suggest spindle cell lipoma, which often co-exists with atypical lipomatous tumor or well differentiated liposarcoma depending on the anatomic location of the tumor. The small size of this tumor (1 cm) makes this unlikely, but sometimes retroperitoneal liposarcoma looks just like fat grossly. Can you make sure that the tumor is from abdominal wall (subcutaneous tissue) and not from mesentery or deep soft tissue? If it is from the retroperitoneum, one has to look carefully for features atypical lipomatous tumor/liposarcoma.

   血管脂肪瘤。

 血管脂肪瘤。

 腹壁？纤维脂肪瘤。