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They usually occur just under the skin, but occasionally may be deeper. [1] Most are less than 5 cm (2.0 in) in size. [2] Common locations include upper back, shoulders, and abdomen. [4] It is possible to have several lipomas. [3] The cause is generally unclear. [1] Risk factors include family history, obesity, and lack of exercise.
Because soft tissue is relatively elastic, tumors can grow rather large, pushing aside normal tissue, before they are felt or cause any problems. The first noticeable symptom is usually a painless lump or swelling. As the tumor grows, it may cause other symptoms, such as pain or soreness, as it presses against nearby nerves and muscles.
At least one case of FIP1L1-PDGFRA fusion gene-induced eosinophilic leukemia presenting with myeloid sarcoma and eosinophilia has been reported. This form of myeloid sarcoma is distinguished by its highly successful treatment with imatinib (the recommended treatment for FIP1L1-PDGRGA fusion gene-induced eosinophilic leukemia) rather than more aggressive and toxic therapy.
From their common origin at a joint or tendon, ganglion cysts may form in a wide range of locations. Rarely, intraosseous ganglion cysts occur, sometimes in combination with a cyst in the overlying soft tissue. [6] [16] Rare cases of intramuscular ganglion cysts in the gastrocnemius muscle of the calf have been reported.
The most accurate use of the term granuloma requires a pathologist to examine surgically removed and specially colored (stained) tissue under a microscope. Macrophages (specifically histiocytes) are the cells that define a granuloma. They often fuse to form multinucleated giant cells (Langhans giant cell). [7]
Nodules may form on tendons and muscles in response to injury, [7] and are frequently found on vocal cords, [8] They occur in conditions including endometriosis, [12] neurofibromatosis, [6] and in rheumatoid arthritis. [11] They may also feature in Kaposi's sarcoma [13] and gonorrhea. [14]
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Infantile hemangiomas are the most common type of vascular tumor to affect babies, [4] accounting for 90% of hemangiomas. [5] They are characterised by the abnormal proliferation of endothelial cells and of deviant blood vessel formation or architecture. [6]