WHO soft tissue tumours spindle cell sarcoma fibrosarcoma pathology
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Fibrosarcoma is the classic malignant mesenchymal tumor composed of spindle-shaped fibroblastic cells.
Histology: spindle cells arranged in a characteristic herringbone pattern
Typical presentation: slow-growing, painless, deep soft-tissue mass, often in the lower limb of adults
Modern pathology: it is largely a diagnosis of exclusion, after ruling out other spindle-cell sarcomas such as leiomyosarcoma, synovial sarcoma, malignant peripheral nerve sheath tumor, and fibrosarcoma-like molecularly defined tumors.