孤立性纤维性肿瘤的临床病理特征
作者: |
1黄述斌,
1李松梅,
1徐亮,
1方伟,
1王美玲
1 池州市人民医院病理科,安徽 池州 247100 |
通讯: |
黄述斌
Email: 634936454@qq.com |
DOI: | 10.3978/j.issn.2095-6959.2018.11.010 |
摘要
目的:探讨孤立性纤维性肿瘤(solitary fibrous tumor,SFT)的临床病理特征、免疫表型和生物学行为。方法:对11例SFT进行组织学观察及免疫组织化学染色,随访观察并分析其临床病理特征和免疫组织化学表型特点。结果:11例SFT病例中,男8例,女3例,年龄40~76岁,发生部位广泛,其中诊断恶性2例,随访中复发1例,死亡2例。特征性组织学形态为疏密相间的肿瘤细胞伴有较多胶原纤维形成,瘤细胞排列无固定模式,多有血管外皮瘤样结构,恶性者具有特殊形态和高增殖活性。免疫组织化学染色STAT6和CD34阳性率高,Bcl-2和CD99的敏感性略低,但在恶性SFT中,CD34表达可缺失。结论:SFT是一种相对少见的软组织肿瘤,有其独特的组织形态学特征,其生物学行为中间性到恶性,免疫组织化学有助于辅助诊断并与其他软组织梭形细胞肿瘤鉴别。
关键词:
孤立性纤维性肿瘤;临床病理特征;免疫组织化学
Clinicopathological features of solitary fibrous tumor
CorrespondingAuthor: HUANG Shubin Email: 634936454@qq.com
DOI: 10.3978/j.issn.2095-6959.2018.11.010
Abstract
Objective: To investigate the clinicopathological features, immunophenotype and biological behavior of solitary fibrous tumor (SFT). Methods: We enrolled 11 cases of SFT and reviewed medical records. Histopathological and Immunohistochemical analysis was performed on them. Clinical follow-up was performed on all cases (1–48 months). Results: Among the 11 cases of SFT, including 8 males and 3 females, aged 40 to 76 years, 2 cases were malignant, 1 case recurred and 2 cases died from disease. Histologically, SFT are characterized by alternating hypercellular and hypocellular areas. Tumor cells arrange in a discernible architecture with ropy collagen fibers. Hemangiopericytoma (HPC)-like architecture is common. However, the malignant counterparts have distinct morphology and high proliferation index. Immunostaining for STAT6 and CD34 are consistently positive, while bcl-2 and CD99 staining are less sensitive. Notably, the expression of CD34 can be lost in malignant SFT. Conclusion: SFT is a relatively rare mesenchymal tumor with specific morphology, which shows intermediate to malignant behavior. Appropriate immunohistochemical analysis can help pathologists avoid misdiagnosis and differentiate from other spindle cell tumors.
Keywords:
solitary fibrous tumor; clinicopathology; immunohistochemistry