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Case 39: Discomfort between the shoulder blades.

For ten years this 65 year old lady has noticed a lump just to the right of the midline in the interscapular area. The lump has not grown, is not particularly tender, but causes pain when lifting.

1. What is the likely diagnosis?

2. Which two criteria would you consider most important when deciding to preoperatively core biopsy this lesion under suspicion of being a sarcoma?