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皮肤透明细胞肉瘤:一种罕见的侵袭性肿瘤,具有潜在的诊断挑战。

Cutaneous clear cell sarcoma: a rare aggressive tumor with potential diagnostic challenge.

作者信息

Bali Akshay, Roy Maitrayee, Chikkannaiah Panduranga, Dhorigol Vijayalaxmi

机构信息

Department of Pathology, Jawaharlal Nehru Medical College, Belgaum, India.

出版信息

J Lab Physicians. 2012 Jan;4(1):53-5. doi: 10.4103/0974-2727.98677.

DOI:10.4103/0974-2727.98677
PMID:22923926
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3425269/
Abstract

Clear cell sarcoma is a deep-seated, exceedingly rare aggressive tumor, typically involving the tendons and aponeuroses with melanocytic differentiation and a distinct genetic background. A primary dermal location is rarer. It exhibits histological, immunohistochemical, and ultrastructural similarities with the more common primary (or metastatic) malignant melanoma causing major diagnostic confusion. We describe a case of primary cutaneous clear cell sarcoma arising in the right lower extremity of a 40-year-old male patient.

摘要

透明细胞肉瘤是一种深部的、极其罕见的侵袭性肿瘤,通常累及肌腱和腱膜,具有黑素细胞分化及独特的遗传背景。原发性皮肤部位更为罕见。它在组织学、免疫组化和超微结构上与更常见的原发性(或转移性)恶性黑色素瘤相似,这导致了主要的诊断混淆。我们描述了一例发生在一名40岁男性患者右下肢的原发性皮肤透明细胞肉瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac1/3425269/df69e8ad7d4b/JLP-4-53-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac1/3425269/97a1341cf85c/JLP-4-53-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac1/3425269/39ee432f6f79/JLP-4-53-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac1/3425269/df69e8ad7d4b/JLP-4-53-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac1/3425269/97a1341cf85c/JLP-4-53-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac1/3425269/39ee432f6f79/JLP-4-53-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac1/3425269/df69e8ad7d4b/JLP-4-53-g003.jpg

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本文引用的文献

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Clear cell sarcoma: a case mimicking primary cutaneous malignant melanoma.透明细胞肉瘤:一例酷似原发性皮肤恶性黑色素瘤的病例。
Indian J Dermatol. 2009;54(2):168-72. doi: 10.4103/0019-5154.53193.
2
Cutaneous clear cell sarcoma: a clinicopathologic, immunohistochemical, and molecular analysis of 12 cases emphasizing its distinction from dermal melanoma.皮肤透明细胞肉瘤:12 例临床病理、免疫组化和分子分析,强调其与皮肤黑色素瘤的区别。
Am J Surg Pathol. 2010 Feb;34(2):216-22. doi: 10.1097/PAS.0b013e3181c7d8b2.
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Clear cell sarcoma of soft tissue: a clinicopathologic, immunohistochemical, and molecular analysis of 33 cases.
右咽旁区软组织透明细胞肉瘤:1例罕见病例报告
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软组织透明细胞肉瘤:33例临床病理、免疫组化及分子分析
Am J Surg Pathol. 2008 Mar;32(3):452-60. doi: 10.1097/PAS.0b013e31814b18fb.
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Clear cell sarcoma of tendons and aponeuroses: a review.肌腱和腱膜透明细胞肉瘤:综述
Arch Pathol Lab Med. 2007 Jan;131(1):152-6. doi: 10.5858/2007-131-152-CCSOTA.
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World J Surg Oncol. 2006 Aug 7;4:48. doi: 10.1186/1477-7819-4-48.
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Dual-color, break-apart fluorescence in situ hybridization for EWS gene rearrangement distinguishes clear cell sarcoma of soft tissue from malignant melanoma.用于EWS基因重排的双色、分离式荧光原位杂交可将软组织透明细胞肉瘤与恶性黑色素瘤区分开来。
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CLEAR-CELL SARCOMA OF TENDONS AND APONEUROSES. AN ANALYSIS OF 21 CASES.肌腱和腱膜透明细胞肉瘤。21例病例分析。
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Clear cell sarcoma (malignant melanoma) of soft parts: A clinicopathologic study of 30 cases.软组织透明细胞肉瘤(恶性黑色素瘤):30例临床病理研究
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