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乳腺外肌成纤维细胞瘤在基因上与梭形细胞脂肪瘤相关。

Extramammary myofibroblastoma is genetically related to spindle cell lipoma.

作者信息

Maggiani Francesca, Debiec-Rychter Maria, Verbeeck Guy, Sciot Raf

机构信息

Department of Morphology and Molecular Pathology, University Hospital, Catholic University Leuven, Leuven, Belgium.

出版信息

Virchows Arch. 2006 Aug;449(2):244-7. doi: 10.1007/s00428-006-0228-z. Epub 2006 May 20.

Abstract

Extramammary-type myofibroblastoma is a rare, benign spindle cell lesion, strictly resembling the breast counterpart, but occurring in extramammary sites, mainly in the inguinal/groin area. In this paper, we describe an extramammary-type myofibroblastoma in the groin of a 37-year-old male patient. The tumor showed a typical morphological and immunophenotypical profile, including staining for both CD34 and desmin. Dual-color interphase florescent in situ hybridization analysis revealed losses of RB/13q14 and FKHR/13q14 loci within tumor cells. The chromosome 13 rearrangements associated with the loss of the 13q14 chromosomal region are typically seen in spindle cell lipoma, and have been previously recognized in mammary myofibroblastoma, providing strong evidence for a pathogenetic link between these lesions.

摘要

乳腺外肌纤维母细胞瘤是一种罕见的良性梭形细胞病变,与乳腺同类病变极为相似,但发生于乳腺外部位,主要在腹股沟/腹股沟区。在本文中,我们描述了一名37岁男性患者腹股沟区的一例乳腺外肌纤维母细胞瘤。该肿瘤呈现典型的形态学和免疫表型特征,包括CD34和结蛋白染色阳性。双色间期荧光原位杂交分析显示肿瘤细胞内RB/13q14和FKHR/13q14位点缺失。与13q14染色体区域缺失相关的13号染色体重排通常见于梭形细胞脂肪瘤,此前在乳腺肌纤维母细胞瘤中也有发现,这为这些病变之间的发病机制联系提供了有力证据。

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