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具有横纹肌样特征的原发性恶性黑色素瘤:三例病例的组织学和免疫细胞化学研究

Primary malignant melanoma with rhabdoid features: a histologic and immunocytochemical study of three cases.

作者信息

Borek B T, McKee P H, Freeman J A, Maguire B, Brander W L, Calonje E

机构信息

Department of Histopathology, UMDS (St Thomas' Campus), London, UK.

出版信息

Am J Dermatopathol. 1998 Apr;20(2):123-7. doi: 10.1097/00000372-199804000-00003.

Abstract

Malignant rhabdoid tumors are morphologically characterized by the presence of sheets of large polygonal cells with abundant cytoplasm containing eosinophilic inclusions. They have vesicular nuclei, often with prominent central nucleoli. The term rhabdoid tumor was originally coined to describe a group of rare, aggressive renal neoplasms of childhood. Since then, similar lesions, so-called extrarenal malignant rhabdoid tumors have been increasingly reported. The evidence to date suggests that, at least in extrarenal locations, rhabdoid tumors do not constitute a homogeneous entity, but rather represent the shared morphological pattern of a diverse range of malignant neoplasms. Although such rhabdoid features are not uncommon in metastatic malignant melanoma, they have only once been briefly described in a primary lesion. We report three further cases of cutaneous primary malignant melanoma with rhabdoid morphology.

摘要

恶性横纹肌样瘤的形态学特征是存在成片的大的多边形细胞,其胞质丰富,含有嗜酸性包涵体。它们具有泡状核,通常有明显的中央核仁。横纹肌样瘤这一术语最初是用来描述一组罕见的、侵袭性的儿童肾肿瘤。从那时起,类似的病变,即所谓的肾外恶性横纹肌样瘤越来越多地被报道。迄今为止的证据表明,至少在肾外部位,横纹肌样瘤并非一个同质的实体,而是代表了多种恶性肿瘤共有的形态学模式。虽然这种横纹肌样特征在转移性恶性黑色素瘤中并不少见,但仅在原发性病变中被简要描述过一次。我们报告另外三例具有横纹肌样形态的皮肤原发性恶性黑色素瘤病例。

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