This report presents a series of patients with metastatic myxoid liposarcoma (MLS) from a single institution, highlighting the patterns of metastasis and the imaging methods used for detection. Due to metastatic disease identified outside surveillance imaging for 58 % of the patients, the diversity of locations, and the significant failure of CT and bone scan to identify bone metastases, this study questioned the adequacy of CT scan for surveillance of MLS and proposes whole-body MRI as a better alternative.

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