VATS as a Diagnostic Lifeline in Occult Pleural Metastasis from a Long-Standing Low Grade Fibromyxoid Sarcoma of the Elbow: A Rare Case Report

1. Gronchi A, Miah AB, Dei Tos AP, et al. Soft tissue and visceral sarcomas: ESMO-EURACAN-GENTURIS Clinical Practice Guidelines
for diagnosis, treatment and follow-up. Ann Oncol. 2021;32(11):1348–1365.
2. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023;73(1):17–48.
3. Predina JD, Puc MM, Bergey MR, et al. Improved survival after pulmonary metastasectomy for soft tissue sarcoma. J Thorac Oncol.
2011;6(5):913–919.
4. Rahman NM, Ali NJ, Brown G, et al. Local anaesthetic thoracoscopy: British Thoracic Society Pleural Disease Guideline 2010. Thorax.
2010;65(Suppl 2):ii54–ii60.
5. Hoeber I, Spillane AJ, Fisher C, Thomas JM. Accuracy of biopsy techniques for limb and limb girdle soft tissue tumors. Ann Surg Oncol.
2001;8(1):80–87.
6. Domanski HA, Akerman M, Rissler P, Gustafson P. Fine-needle aspiration of soft tissue leiomyosarcoma: an analysis of cytologic findings
and ancillary techniques. Diagn Cytopathol. 2006;34(9):597–604.
7. Prakash UB, Reiman HM. Comparison of needle biopsy with cytologic analysis for the evaluation of pleural effusion: analysis of 414
cases. Mayo Clin Proc. 1985;60(3):158–164.
8. Evans HL. Low-grade fibromyxoid sarcoma: a report of two metastasizing neoplasms having a deceptively benign appearance. Am J Clin
Pathol. 1987;88(5):615–619.
9. Doyle LA, Moller E, Dal Cin P, et al. MUC4 is a highly sensitive and specific marker for low-grade fibromyxoid sarcoma. Am J Surg
Pathol. 2011;35(5):733–741.
10. Guillou L, Benhattar J, Gengler C, et al. Translocation-positive low-grade fibromyxoid sarcoma: clinicopathologic and molecular analysis
expanding the morphologic spectrum. Am J Surg Pathol. 2007;31(9):1387–1402.