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Follicular Dendritic Cell Sarcoma.

滤泡树突状细胞肉瘤

Abstract

Follicular dendritic cell sarcoma is an uncommon neoplastic proliferation of spindled to ovoid cells with morphologic and immunophenotypic features similar to normal follicular dendritic cells. While most follicular dendritic cell sarcomas arise from lymph nodes, at least one-third occur in extranodal sites. A broad differential diagnosis can be developed-as this tumor has morphologic features similar to other tumors, hence creating a diagnostic pitfall-but its immunophenotypic profile is quite specific and is diagnostically crucial. Herein, we review the pathogenesis; histologic morphology; and immunohistochemical, electron microscopy, and clinical features, including treatment and prognosis, of follicular dendritic cell sarcomas. We will briefly describe the role of molecular studies including utility of BRAF mutations in diagnosing this tumor.

摘要

滤泡树突状细胞肉瘤是一种少见的梭形至卵圆形细胞肿瘤,其细胞形态学和免疫表型类似于正常的滤泡树突状细胞。虽然大多数滤泡树突状细胞肉瘤发生于淋巴结,但至少1/3发生于结外部位。由于滤泡树突状细胞肉瘤与其他肿瘤具有相似的形态学特征,因此需进行鉴别诊断。虽然形态学是一个诊断陷阱,但是其特异的免疫表型有助于诊断。本文对滤泡树突状细胞肉瘤的发病机制、组织学形态、免疫表型、电镜特点及包括治疗和预后在内的临床特征进行综述。同时我们将简要地描述分子相关研究内容,包括BRAF突变在滤泡树突状细胞肉瘤中的诊断价值。


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