Bezić J, Tomić S, Glavina-Durdov M, Alfirević D, Samija I, Krizanac S
Department of Pathology, Clinical Hospital Split, Split, Croatia.
Pathologica. 2004 Oct;96(5):433-5.
Sclerosing epitheloid fibrosarcoma is a rare, histologically well-defined member of adult fibrosarcoma group of soft tissue tumors. Its main histological features are nests and cords of rounded tumor cells surrounded by hyalinized collagenous stroma. Epitheloid appearance with marked sclerosis and infiltrating growth pattern, along with occasional immunohistochemical positivity for epithelial markers may be highly suggestive of infiltrating carcinoma. Despite of bland cytological features clinical course is often protracted with a high local recurrence rate and late metastases. In this report, we present histopathological characteristics of two cases of sclerosing epitheloid fibrosarcoma, together with their clinical presentation, follow-up information and differential diagnosis.
硬化性上皮样纤维肉瘤是成人软组织肿瘤纤维肉瘤组中一种罕见的、组织学特征明确的肿瘤。其主要组织学特征为圆形肿瘤细胞巢和条索,周围有玻璃样变的胶原性间质。上皮样外观伴显著硬化和浸润性生长方式,以及偶尔上皮标志物免疫组化阳性,可能高度提示浸润性癌。尽管细胞特征温和,但临床病程通常迁延,局部复发率高且转移较晚。在本报告中,我们呈现了两例硬化性上皮样纤维肉瘤的组织病理学特征,以及它们的临床表现、随访信息和鉴别诊断。