This article reviews the clinicopathological features of several recen
tly described soft tissue tumours, namely ossifying fibromyxoid tumour
, angiomyofibroblastoma, epithelioid angiosarcoma, retiform haemangioe
ndothelioma, intra-abdominal desmoplastic small cell tumour, spindle c
ell liposarcoma and low grade fibromyxoid sarcoma. Conceptual changes
are also discussed, These include the relationship between Ewing's sar
coma and peripheral primitive neuroectodermal tumour, the proposed use
of the term atypical lipoma for a subset of well differentiated lipos
arcomas, and the occurrence at a wide variety of sites of inflammatory
myofibroblastic lesions of uncertain biological potential. In additio
n, advances in the study of soft tissue lesions at the molecular and c
ytogenetic levels are outlined, with particular emphasis on the recent
identification of tumour-specific karyotypic abnormalities in a wide
variety of sarcomas.