Soft tissue tumour ankle

40 year old male with swelling around ankle, above the lateral malleolus.it is very painful to touch and vascular on usg.

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Spindle mesenchymal neoplasm of Neural origin.Suggested Bx & IHC correlation.

Thank you doctor
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Spindle cells.. plump mononuclears Multinucleated giant cells Ill formed microgranuloma Necrohaemorrhagic and inflammatory debris. Dense collagenous material? with superimposed spindle cells Dd. Granulomatous synovitis Nodular or diffuse tenosynovitis/ tenosynovialGCT/villonodular synovitis. Neural tumor... neurofibroma/schwannoma Sug. Clinicoimaging Bx Cbnaat... from fna

Thank you sir, I was thinking on the lines of some neural soft tissue lesion . I could not appreciate any giant cells on the slides
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spindle cell neoplasm. Excision biopsy and IHC suggested.

Thank you doctor
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