Published online by Cambridge University Press: 17 June 2025
Pathologists often encounter soft tissue neoplasms while examining biopsies and excisions from the skin. Soft tissue neoplasms are classified along their line of differentiation and include fibroblastic, myofibroblastic and fibrohistiocytic tumors, smooth muscle tumors, skeletal muscle tumors, neural tumors, lipomatous tumors, vascular tumors, pericytic and perivascular tumors and tumors of uncertain differentiation. These tumors can be categorized as benign, intermediate (locally recurrent/aggressive), intermediate (rarely metastasizing) and malignant (locally recurrent/aggressive with significant metastatic potential). Histologic diagnosis, grading and staging is imperative for prognostication and treatment. The continually expanding array of molecular diagnostics techniques has identified numerous novel gene alterations in soft tissue neoplasms that has enabled identification of new diagnostic entities with accompanying diagnostic and surrogate immunohistochemical markers. In this chapter we will review many soft tissue neoplasms and highlight important immunohistochemical markers.
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