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三例软组织骨化性纤维黏液样肿瘤的新观察

New observations on three cases of ossifying fibromyxoid tumor of soft parts.

作者信息

Hański W, Lewicki Z

机构信息

Department of Pathomorphology, Medical Center of Postgraduate Education, Warszawa.

出版信息

Pol J Pathol. 1994;45(3):231-8.

PMID:7953442
Abstract

Three cases of a recently established entity named "ossifying fibromyxoid tumor of soft parts" (OFMT) were studied histologically, ultrastructurally and by immunohistochemistry. All three tumors were stated in women from 48 to 54 years of age. One tumor was situated superficially in the skin and subcutaneous tissue. Other two tumors were deep-seated, with more diffuse and abundant ossification also in tumor free parts. In one of cases radiological and histological signs of chondroosteosarcomatous features in the ossifying parts of the tumor were stated. In two cases histologically and ultrastructurally multinucleated, vimentin and S-100 protein positive "fibroblastoid" cells were found. The histological and electron microscopic investigations did not rule out the possibility that the tumor cells have also potential properties of osteoblasts, but on the basis of histological, ultrastructural and immunohistochemical data it seems that these tumors are of mesenchymal multipotential derivatives of fibroblastoid origins.

摘要

对三例最近确诊为“软组织骨化性纤维黏液样肿瘤”(OFMT)的病例进行了组织学、超微结构和免疫组织化学研究。所有三例肿瘤均发生于48至54岁的女性。其中一例肿瘤位于皮肤及皮下组织浅层。另外两例肿瘤位置较深,在肿瘤周围无瘤组织中也有更广泛、更丰富的骨化现象。在其中一例病例中,肿瘤骨化部分出现了软骨骨肉瘤样特征的影像学和组织学表现。在两例病例中,组织学和超微结构检查发现了多核、波形蛋白和S-100蛋白阳性的“成纤维细胞样”细胞。组织学和电子显微镜检查并未排除肿瘤细胞也具有成骨细胞潜在特性的可能性,但基于组织学、超微结构和免疫组织化学数据,这些肿瘤似乎是成纤维细胞样起源的间充质多潜能衍生物。

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