Zhang Bi-Xi, Chen Zhi-Hong, Liu Yu, Zeng Yuan-Jun, Li Yan-Chun
Department of Pathology, People's Hospital of Hunan Province, Changsha 410005, Hunan Province, China.
World J Gastrointest Oncol. 2019 Dec 15;11(12):1231-1239. doi: 10.4251/wjgo.v11.i12.1231.
BACKGROUND: Follicular dendritic cell (FDC) sarcoma/tumor is a rare malignant tumor of follicular dendritic cells, which is considered a low-grade sarcoma that can involve lymph nodes or extranodal sites. Conventional FDC sarcomas are negative for Epstein-Barr virus (EBV), whereas the inflammatory pseudotumor-like variant consistently shows EBV in the neoplastic cells. CASE SUMMARY: We report two cases of inflammatory pseudotumor-like FDC sarcoma in the liver that received 3D laparoscopic right hepatectomy and open right hepatectomy separately. CONCLUSION: EBV probe-based hybridization and detection of immunohistochemical markers of FDC play an important role in the diagnosis and differential diagnosis of inflammatory pseudotumor-like FDC sarcoma. Complete surgical excision combined with regional lymphadenectomy may be effective in reducing the postoperative recurrence and metastasis and improving long-term survival rates.
背景:滤泡性树突状细胞(FDC)肉瘤/肿瘤是一种罕见的滤泡性树突状细胞恶性肿瘤,被认为是一种低度恶性肉瘤,可累及淋巴结或结外部位。传统的FDC肉瘤对EB病毒(EBV)呈阴性,而炎症性假瘤样变体在肿瘤细胞中始终显示EBV阳性。 病例总结:我们报告了两例肝脏炎症性假瘤样FDC肉瘤病例,分别接受了3D腹腔镜右肝切除术和开放性右肝切除术。 结论:基于EBV探针的杂交和FDC免疫组化标志物的检测在炎症性假瘤样FDC肉瘤的诊断和鉴别诊断中起重要作用。完整的手术切除联合区域淋巴结清扫术可能有效降低术后复发和转移,提高长期生存率。
World J Gastrointest Oncol. 2019-12-15
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