<p>Low-grade fibromyxoid sarcoma (LGFMS) is a rare soft tissue malignancy with non-specific imaging features. We present a case of a 57-year-old woman with a right axillary mass to highlight the diagnostic value of advanced ultrasound techniques. Conventional ultrasound showed an irregular, vascularized hypoechoic mass. Contrast-enhanced ultrasound (CEUS) revealed early centripetal hyperenhancement and rapid washout, suggesting malignancy. Super-resolution ultrasound (SR-US) further characterized the lesion's disorganized microvascular architecture, providing insights beyond conventional imaging. The diagnosis was confirmed pathologically. This case underscores how integrating CEUS and SR-US aids preoperative assessment of LGFMS by delineating tumor vascular patterns unavailable through standard imaging.</p>

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Application of super-resolution ultrasound in preoperative assessment of axillary low-grade fibromyxoid sarcoma: a case report

  • Xiaohan Zhao,
  • Zhengmiao Wang,
  • Yixuan Zhao

摘要

Low-grade fibromyxoid sarcoma (LGFMS) is a rare soft tissue malignancy with non-specific imaging features. We present a case of a 57-year-old woman with a right axillary mass to highlight the diagnostic value of advanced ultrasound techniques. Conventional ultrasound showed an irregular, vascularized hypoechoic mass. Contrast-enhanced ultrasound (CEUS) revealed early centripetal hyperenhancement and rapid washout, suggesting malignancy. Super-resolution ultrasound (SR-US) further characterized the lesion's disorganized microvascular architecture, providing insights beyond conventional imaging. The diagnosis was confirmed pathologically. This case underscores how integrating CEUS and SR-US aids preoperative assessment of LGFMS by delineating tumor vascular patterns unavailable through standard imaging.