Grabellus F, Sheu S-Y, Schmidt B, von Winterfeld F, Schoenfeld B, Taeger G, Hillen U, Schmid K W
Institut für Pathologie und Neuropathologie, Universitätsklinikum Essen, Universität Duisburg-Essen, Deutschland.
Pathologe. 2009 Sep;30(5):401-6. doi: 10.1007/s00292-009-1142-3.
Giant cell tumor of soft tissue (GCT-ST) is a rare primary soft tissue tumor with low malignant potential. It is clinically and pathologically similar to the giant cell tumor of the bone. Two cases of GCT-ST in surgical scars are reported. Both tumors were initially regarded as tumor relapses of a leiomyosarcoma of deep soft tissue and a dermal in situ squamous cell carcinoma, respectively. The development of GCT-ST in surgical scars has not been observed previously. These findings suggest chronic inflammation and tissue repair as etiological factors in the development of GCT-ST. The period of time between initial surgical intervention and the development of the GCT-ST seems to be unusually short for the development of a "true" second neoplasm, which may underline the sometimes diffuse border between reactive "pseudosarcomatous" and neoplastic fibro-histiocytic lesions.
软组织巨细胞瘤(GCT-ST)是一种罕见的原发性软组织肿瘤,恶性潜能较低。它在临床和病理上与骨巨细胞瘤相似。本文报告了两例发生于手术瘢痕的GCT-ST。这两个肿瘤最初分别被认为是深部软组织平滑肌肉瘤和皮肤原位鳞状细胞癌的肿瘤复发。此前尚未观察到手术瘢痕中发生GCT-ST。这些发现提示慢性炎症和组织修复是GCT-ST发生的病因学因素。从最初的手术干预到GCT-ST发生的时间间隔对于“真正的”第二种肿瘤的发生而言似乎异常短暂,这可能突显了反应性“假肉瘤样”病变与肿瘤性纤维组织细胞性病变之间有时模糊的界限。