Difference between revisions of "Follicular dendritic cell sarcoma"

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'''Follicular dendritic cell sarcoma''', abbreviated '''FDCS''', is a very rare [[malignant]] tumour.
'''Follicular dendritic cell sarcoma''', abbreviated '''FDCS''', is a very rare [[malignant]] tumour.


It is also known as '''follicular dendritic cell tumour''' (abbreviated '''FDCT''').<ref name=pmid17515347>{{Cite journal  | last1 = Leipsic | first1 = JA. | last2 = McAdams | first2 = HP. | last3 = Sporn | first3 = TA. | title = Follicular dendritic cell sarcoma of the mediastinum. | journal = AJR Am J Roentgenol | volume = 188 | issue = 6 | pages = W554-6 | month = Jun | year = 2007 | doi = 10.2214/AJR.04.1530 | PMID = 17515347 }}</ref>
It is also known as '''follicular dendritic cell tumour''' (abbreviated '''FDCT'''),<ref name=pmid17515347>{{Cite journal  | last1 = Leipsic | first1 = JA. | last2 = McAdams | first2 = HP. | last3 = Sporn | first3 = TA. | title = Follicular dendritic cell sarcoma of the mediastinum. | journal = AJR Am J Roentgenol | volume = 188 | issue = 6 | pages = W554-6 | month = Jun | year = 2007 | doi = 10.2214/AJR.04.1530 | PMID = 17515347 }}</ref> and ''follicular dendritic cell neoplasm''.<ref name=pmid19391666>{{Cite journal  | last1 = Denning | first1 = KL. | last2 = Olson | first2 = PR. | last3 = Maley | first3 = RH. | last4 = Flati | first4 = VR. | last5 = Myers | first5 = JL. | last6 = Silverman | first6 = JF. | title = Primary pulmonary follicular dendritic cell neoplasm: a case report and review of the literature. | journal = Arch Pathol Lab Med | volume = 133 | issue = 4 | pages = 643-7 | month = Apr | year = 2009 | doi = 10.1043/1543-2165-133.4.643 | PMID = 19391666 }}</ref>
 
Other possible names are: ''dendritic reticulum cell sarcoma'', (???) ''follicular dendritic cell neoplasm''. (???)


==General==
==General==
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*Behave like a low-grade sarcoma.<ref name=pmid9606805>{{Cite journal  | last1 = Perez-Ordoñez | first1 = B. | last2 = Rosai | first2 = J. | title = Follicular dendritic cell tumor: review of the entity. | journal = Semin Diagn Pathol | volume = 15 | issue = 2 | pages = 144-54 | month = May | year = 1998 | doi =  | PMID = 9606805 }}</ref>
*Behave like a low-grade sarcoma.<ref name=pmid9606805>{{Cite journal  | last1 = Perez-Ordoñez | first1 = B. | last2 = Rosai | first2 = J. | title = Follicular dendritic cell tumor: review of the entity. | journal = Semin Diagn Pathol | volume = 15 | issue = 2 | pages = 144-54 | month = May | year = 1998 | doi =  | PMID = 9606805 }}</ref>
*Reported association with [[Castleman disease]] (hyaline-vascular type).<ref name=pmid9606805/>
*Reported association with [[Castleman disease]] (hyaline-vascular type).<ref name=pmid9606805/>
WHO 2001 classification of dendritic cell neoplasms:<ref name=pmid17636477>{{Cite journal  | last1 = Kairouz | first1 = S. | last2 = Hashash | first2 = J. | last3 = Kabbara | first3 = W. | last4 = McHayleh | first4 = W. | last5 = Tabbara | first5 = IA. | title = Dendritic cell neoplasms: an overview. | journal = Am J Hematol | volume = 82 | issue = 10 | pages = 924-8 | month = Oct | year = 2007 | doi = 10.1002/ajh.20857 | PMID = 17636477 }}</ref>
*[[Langerhans cell histiocytosis]].
*Langerhans cell sarcoma.
*Interdigitating dendritic cell sarcoma/tumour.
*Follicular dendritic cell sarcoma/tumour.
*Dendritic cell sarcoma, not specified otherwise.


==Microscopic==
==Microscopic==

Revision as of 14:05, 2 June 2016

Follicular dendritic cell sarcoma
Diagnosis in short
LM oval or spindle-shaped cellular & nuclear morphology, variable architecture (sheets, fascicles, whorles, storiform pattern), nuclei with small nucleoli and clear or dispersed chromatin, multinucleated cells, interspersed small lymphocytes, +/-necrosis, +/-marked nuclear atypia, +/-abundant mitoses.
LM DDx histiocytic sarcoma, thymoma, other spindle cell lesions
IHC CD21 +ve, CD35 +ve, Ki-M4p +ve, Ki-FDRC1p +ve, vimentin +ve
Associated Dx Castleman disease, hyaline-vascular type
Prevalence very rare
Treatment excision

Follicular dendritic cell sarcoma, abbreviated FDCS, is a very rare malignant tumour.

It is also known as follicular dendritic cell tumour (abbreviated FDCT),[1] and follicular dendritic cell neoplasm.[2]

General

  • Very rare.
  • Behave like a low-grade sarcoma.[3]
  • Reported association with Castleman disease (hyaline-vascular type).[3]

WHO 2001 classification of dendritic cell neoplasms:[4]

  • Langerhans cell histiocytosis.
  • Langerhans cell sarcoma.
  • Interdigitating dendritic cell sarcoma/tumour.
  • Follicular dendritic cell sarcoma/tumour.
  • Dendritic cell sarcoma, not specified otherwise.

Microscopic

Features:[3]

  • Oval or spindle-shaped cellular & nuclear morphology.
  • Variable architecture (sheets, fascicles, whorles, storiform pattern).
  • Nuclei:
    • Small nucleoli.
    • Clear or dispersed chromatin.
  • Multinucleated cells.
  • Interspersed small lymphocytes - distinctive feature.
  • +/-Necrosis.
  • +/-Marked nuclear atypia.
  • +/-Abundant mitoses.

DDx:

Images

IHC

Features:[3]

  • CD21 +ve.
  • CD35 +ve.
  • Ki-M4p +ve
  • Ki-FDRC1p +ve.
  • Vimentin +ve.
  • S-100 +ve/-ve.
  • Muscle-specific actin +ve/-ve.
  • EMA +ve/-ve.

See also

References

  1. ↑ 1.0 1.1 Leipsic, JA.; McAdams, HP.; Sporn, TA. (Jun 2007). "Follicular dendritic cell sarcoma of the mediastinum.". AJR Am J Roentgenol 188 (6): W554-6. doi:10.2214/AJR.04.1530. PMID 17515347.
  2. ↑ Denning, KL.; Olson, PR.; Maley, RH.; Flati, VR.; Myers, JL.; Silverman, JF. (Apr 2009). "Primary pulmonary follicular dendritic cell neoplasm: a case report and review of the literature.". Arch Pathol Lab Med 133 (4): 643-7. doi:10.1043/1543-2165-133.4.643. PMID 19391666.
  3. ↑ 3.0 3.1 3.2 3.3 Perez-Ordoñez, B.; Rosai, J. (May 1998). "Follicular dendritic cell tumor: review of the entity.". Semin Diagn Pathol 15 (2): 144-54. PMID 9606805.
  4. ↑ Kairouz, S.; Hashash, J.; Kabbara, W.; McHayleh, W.; Tabbara, IA. (Oct 2007). "Dendritic cell neoplasms: an overview.". Am J Hematol 82 (10): 924-8. doi:10.1002/ajh.20857. PMID 17636477.
  5. ↑ Alexiev, BA.; Sailey, CJ.; McClure, SA.; Ord, RA.; Zhao, XF.; Papadimitriou, JC. (2007). "Primary histiocytic sarcoma arising in the head and neck with predominant spindle cell component.". Diagn Pathol 2: 7. doi:10.1186/1746-1596-2-7. PMID 17324277. http://www.diagnosticpathology.org/content/2/1/7.
  6. ↑ URL: http://www.npplweb.com/wjsmro/fulltext/2/1. Accessed on: September 13, 2014.
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