Pleomorphic hyalinizing angiectatic tumors of soft parts are extremely rare low‐grade mesenchymal lesions that frequently occur subcutaneously, especially in the lower extremity. The tumor is histologically characterized by sheets of plump, spindled or rounded cells, and clusters of ectatic blood vessels. It also has a number of previously characterized cytological features such as pleomorphic cells, intranuclear pseudoinclusion, and intracytoplasmic hemosiderin pigments. However, intracytoplasmic hemosiderin has not been carefully evaluated in cytology specimens. Here, we report the case of a 56‐year‐old Japanese man with an encapsulated pleomorphic hyalinizing angiectatic tumor of soft parts that included fine and coarse hemosiderin‐laden tumor cells. The tumor was clinically followed up as a hematoma, but malignant tumors, including malignant melanoma, were suspected because aspiration cytology specimens contained pleomorphic cells with intracytoplasmic brown pigments. The tumor was closely associated with an intratumoral hematoma and a few microscopic satellite lesions. Pleomorphic hyalinizing angiectatic tumor of soft parts should be included in the differential cytological diagnosis of soft tissue tumors if the three cytological features described earlier are present. Enucleation therapy could facilitate local recurrence, as the tumor may have the potential to infiltrate surrounding soft tissue or form satellite lesions. Diagn. Cytopathol. 2015;43:407–411. © 2014 The Authors. Diagnostic Cytopathology Published by Wiley Periodicals, Inc.

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We treated 2-or 3-part proximal humeral unstable fractures with closed intramedullary fixation using Ender nails. Over 5 years (1994-1998), we treated 10 patients consisting of a man and 9 women whose age at operation ranged from 27 to 82 years (average; 61.6 years). 8 cases were 2-part fractures and 2 cases were 3-part. We perfomed fixation using 2 Ender nails from 2 entrance portals at the medial and lateral epicondyle of the distal humerus. Within 2 weeks after surgery, the patient was allowed to begin active and passive range of motion exercise. There were no infections and non-unions. Clinical and radiographical results were acceptable in 8 cases, and poor in 2. One of the nails cutout in 3 patients, requiring reversion or extraction in 2.

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