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伴有 CD10 表达的非特殊性乳腺肉瘤是否为一种独特实体?伴有免疫组化和超微结构研究的罕见病例报告。

Is mammary not otherwise specified-type sarcoma with CD10 expression a distinct entity? A rare case report with immunohistochemical and ultrastructural study.

机构信息

Department of Pathology, The General Hospital of Beijing Military Command, Beijing, 100700, China.

出版信息

Diagn Pathol. 2013 Jan 28;8:14. doi: 10.1186/1746-1596-8-14.

Abstract

UNLABELLED

Mammary sarcoma is extremely rare and the diagnosis is established only after metaplastic carcinomas and malignant phyllodes tumours are excluded. A rare case of not otherwise specified-type sarcoma with CD10 expression in the left breast in a 45-year-old female was presented. It was a high-grade tumour composed of spindle cells histologically. The immunohistochemical results showed that CD10, vimentin and EGFR were positive diffusely and SMA presented focally, whereas epithelial markers and other myoepithelial or myogenic markers were all negative. The electron microscope investigation demonstrated fibroblast-like features. The exact entity of the tumour remains to be studied because it resembles undifferentiated sarcoma or sarcomatoid metaplastic carcinoma to some degree, as well as high-grade malignant phyllodes tumour in particular.

VIRTUAL SLIDES

The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/9019879588725702.

摘要

未注明类型的肉瘤

左乳中 CD10 表达的 45 岁女性非特指型肉瘤一例

罕见病例报道

乳腺肉瘤极其罕见,只有排除了癌肉瘤和恶性叶状肿瘤后才能确诊。本文报道了一例罕见的左乳未注明类型肉瘤伴 CD10 阳性病例,该肿瘤为 45 岁女性患者,组织学上由梭形细胞组成,为高级别肿瘤。免疫组化结果显示 CD10、波形蛋白和 EGFR 弥漫阳性,SMA 局灶阳性,而上皮标志物和其他肌上皮或肌源性标志物均为阴性。电镜检查显示成纤维细胞样特征。由于该肿瘤在一定程度上类似于未分化肉瘤或肉瘤样癌肉瘤,特别是高级别恶性叶状肿瘤,因此其确切性质仍有待研究。

虚拟幻灯片

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