Macagno Nicolas, Caselles Kevin, Aubert Sébastien, Audard Virginie, Gomez-Brouchet Anne, Galant Christine, Guinebretière Jean-Marc, Karanian Marie, Larousserie Frédérique, Marie Béatrice, de Pinieux Gonzague, Bouvier Corinne
Service d'anatomie pathologique et neuropathologie, department of pathology, CHU de Timone, Assistance publique-Hôpitaux de Paris (AP-HP), BMT-Timone 2, 2(e) étage, 264, rue Saint-Pierre, 13000 Marseille, France.
Service d'anatomie pathologique et neuropathologie, department of pathology, CHU de Timone, Assistance publique-Hôpitaux de Paris (AP-HP), BMT-Timone 2, 2(e) étage, 264, rue Saint-Pierre, 13000 Marseille, France.
Ann Pathol. 2018 Apr;38(2):92-102. doi: 10.1016/j.annpat.2018.01.008. Epub 2018 Mar 23.
The infiltration by numerous osteoclastic giant cells is a frequent finding in bone tumors and pseudo-tumors. Pathologists must integrate clinical and radiological data to achieve a correct diagnosis in bone pathology. Benign giant-cell rich lesions of bone encompass giant cell tumor of bone, aneurysmal bone cyst, chondroblastoma, brown tumor and fibrous cortical defect/non-ossifying fibroma. Amongst malignant neoplasms, variants of conventional osteosarcoma, undifferentiated pleomorphic sarcoma, leiomyosarcoma and bone metastasis must be discussed. Recently, new diagnostic markers, antibodies for immuno-histochemistry and genetic markers, have been developed and are helpful to diagnose such lesions.
众多破骨细胞性巨细胞浸润在骨肿瘤和肿瘤样病变中很常见。病理学家必须综合临床和放射学数据,以在骨病理学中做出正确诊断。富含巨细胞的良性骨病变包括骨巨细胞瘤、骨动脉瘤样囊肿、软骨母细胞瘤、棕色瘤和纤维皮质缺损/非骨化性纤维瘤。在恶性肿瘤中,必须讨论传统骨肉瘤的变异型、未分化多形性肉瘤、平滑肌肉瘤和骨转移瘤。最近,已开发出新的诊断标志物、免疫组织化学抗体和基因标志物,有助于诊断此类病变。