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结外滤泡树突状细胞肉瘤表现为结肠肿块:诊断和治疗的挑战。

Extranodal follicular dendritic cell sarcoma presenting as colonic mass: A diagnostic and therapeutic challenge.

机构信息

Department of Pathology, Rajiv Gandhi Cancer Institute and Research Center, New Delhi, India.

Department of Radiology, Juravinski Hospital, McMaster University, Canada.

出版信息

J Cancer Res Ther. 2024 Jan 1;20(1):450-453. doi: 10.4103/jcrt.jcrt_1534_22. Epub 2023 Apr 8.

Abstract

Folliclular dendritic cell sarcoma (FDCS) is an extremely rare neoplasm originating from folliclular dendritic cells, both nodally and extranodally. Its primary presentation as a large colonic mass is rare and can be misdiagnosed as epithelial tumor/soft tissue tumor both clinically and through histomorphology. Due to its rarity and limited consensus guidelines about its management, it presents as a diagnostic and therapeutic challenge for pathologists and oncologists. However, accurate diagnosis is imperative due to its distinct prognostic and therapeutic implications. Herein we report, two cases of extranodal FDCS of colon with the aim of contributing to the management of this uncommon entity.

摘要

滤泡树突细胞肉瘤(FDCS)是一种极为罕见的肿瘤,起源于结内和结外的滤泡树突细胞。其作为大肠巨大肿块的主要表现形式较为少见,在临床和组织形态学上均可能被误诊为上皮性肿瘤/软组织肿瘤。由于其罕见性以及关于其治疗管理的共识指南有限,因此对于病理学家和肿瘤学家来说,这是一个诊断和治疗方面的挑战。然而,由于其预后和治疗意义明确,因此准确诊断至关重要。在此,我们报告了两例结外结肠 FDCS 的病例,旨在为这种罕见实体的治疗提供帮助。

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