The 1st case is a mix of negligence to self and healthcare system. The guy lived in the provinces where there isn't an accessible diagnostic center or specialist center to cater to his surgical needs. When the term atypical is used, I think of the case as more than half the time it's a precursor to actual malignancy but there is still a chance that the morphological can just be triggered by something as benign as inflammation and it goes away on its own. The resection margins for this one was negative for tumor so if his metastatic workup shows no spread, he'll just be put into monitoring phase.
RE: Atypical Lipomatous Tumor