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[硬化性上皮样纤维肉瘤:10例临床形态学评估]

[Sclerosing epithelial fibrosarcoma: a clinico-morphological evaluation of 10 cases].

作者信息

Blizniukov O P, Smirnova E A

出版信息

Vopr Onkol. 2009;55(5):586-93.

Abstract

Sclerosing epithelial fibrosarcoma is a malignant mesenchymal tumor (fibroblastic class). It involved tissues of the legs and trunk in patients aged 31-59 and grew slowly as an infiltrative neoplasm during 6-18 months. Relapse occurred in 20% although no metastases were reported. Tumor consisted of epithelial fibroblasts with light cytoplasm and mononuclei. The latter showed low mitotic activity. Fibroblasts came in clusters, bands and alveolar formations sitting in the fibrous stroma. There were small areas consisting of bundles of spindle-shaped fibroblasts with oval hyperchromatic nuclei. Differentiated analysis of epithelioid fibrosarcoma may also be done by computed microscopy and immunomorphology using other tumor models consisting of light-cytoplasm epitheloid cells, mostly osteosarcoma, clear-cell renal carcinoma, melanoma, synovial sarcoma and clear-cell sarcoma of the tendon sheath and aponeurosis.

摘要

硬化性上皮样纤维肉瘤是一种恶性间叶性肿瘤(纤维母细胞类)。它累及31至59岁患者的腿部和躯干组织,在6至18个月内作为浸润性肿瘤缓慢生长。尽管未报告有转移,但20%的患者出现复发。肿瘤由胞质淡染的上皮样纤维母细胞和单核细胞组成。后者显示低有丝分裂活性。纤维母细胞聚集成簇、束状和肺泡状结构,位于纤维性间质中。有小区域由束状梭形纤维母细胞组成,细胞核呈椭圆形,染色质深染。上皮样纤维肉瘤的鉴别分析也可通过计算机显微镜和免疫形态学进行,使用其他由胞质淡染的上皮样细胞组成的肿瘤模型,主要包括骨肉瘤、透明细胞肾细胞癌、黑色素瘤、滑膜肉瘤以及腱鞘和腱膜的透明细胞肉瘤。

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