Department of Pathology, University College of Medical Sciences, Delhi, India.
Saudi J Gastroenterol. 2010 Jan-Mar;16(1):46-8. doi: 10.4103/1319-3767.58769.
Rhabdoid tumor, first described in kidneys of infants and children, is an aggressive tumor that has been reported in several extrarenal locations. In this report, we describe the case of a 40-year-old patient with gastric adenocarcinoma composed of histologically well-differentiated glandular areas and focal rhabdoid zones. The rhabdoid component showed typical features such as abundant eosinophilic cytoplasm, eccentric nuclei, prominent nucleoli and intense focal positive immunohistochemical cytoplasmic reaction for vimentin. Recognition of the rhabdoid phenotype in gastrointestinal tract neoplasms is important because this feature is associated with poor prognosis and unresponsiveness to conventional therapy.
横纹肌样瘤,最初描述于婴儿和儿童的肾脏中,是一种侵袭性肿瘤,已在多个肾脏外部位报道。在本报告中,我们描述了一例 40 岁患者的胃腺癌,其由组织学上分化良好的腺体区域和局灶性横纹肌样区域组成。横纹肌样成分表现出典型特征,如丰富的嗜酸性细胞质、偏心核、明显的核仁以及强烈的局灶性波形蛋白免疫组织化学细胞质阳性反应。在胃肠道肿瘤中识别横纹肌样表型很重要,因为这一特征与预后不良和对常规治疗无反应相关。