Difference between revisions of "Epithelioid cell lesions"
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==Differential diagnosis== | ==Differential diagnosis== | ||
A short DDx | ===A short DDx=== | ||
*Carcinoma (primary and metastatic). | *Carcinoma (primary and metastatic). | ||
*[[Malignant melanoma]]. | *[[Malignant melanoma]]. | ||
*Sarcoma. | *Sarcoma. | ||
=== | ====Epithelioid sarcomas==== | ||
All rules are made to be broken... some epithelioid lesions are sarcomas:<ref name=pmid19664495>{{cite journal |author=Dei Tos AP, Wagner AJ, Modena P, Comandone A, Leyvraz S |title=Epithelioid soft tissue tumors |journal=Semin. Oncol. |volume=36 |issue=4 |pages=347–57 |year=2009 |month=August |pmid=19664495 |doi=10.1053/j.seminoncol.2009.06.005 |url=}}</ref> | All rules are made to be broken... some epithelioid lesions are sarcomas:<ref name=pmid19664495>{{cite journal |author=Dei Tos AP, Wagner AJ, Modena P, Comandone A, Leyvraz S |title=Epithelioid soft tissue tumors |journal=Semin. Oncol. |volume=36 |issue=4 |pages=347–57 |year=2009 |month=August |pmid=19664495 |doi=10.1053/j.seminoncol.2009.06.005 |url=}}</ref> | ||
*[[Epithelioid sarcoma]]. | *[[Epithelioid sarcoma]]. | ||
Line 24: | Line 21: | ||
Note: | Note: | ||
*A more complete list is in ''[[large epithelioid tumours]] | *A more complete list is below. | ||
===Large epithelioid tumours=== | |||
The following is an exhaustive [[DDx]] for a ''large epithelioid tumour''. | |||
{| class="wikitable sortable" | |||
! Tumour | |||
! Group | |||
! Notes/comments | |||
|- | |||
| [[Melanoma]] | |||
| Miscellaneous | |||
| | |||
|- | |||
| [[PEComa]] | |||
| Miscellaneous | |||
| esp. [[epithelioid angiomyolipoma]] | |||
|- | |||
| [[Perivascular epithelioid cell sarcoma]] | |||
| Miscellaneous | |||
| type of PEComa, looks like clear cell carcinoma<ref name=pmid11406657>{{Cite journal | last1 = Bonetti| first1 = F.| last2 = Martignoni| first2 = G.| last3 = Colato| first3 = C.| last4 = Manfrin| first4 = E.| last5 = Gambacorta| first5 = M.| last6 = Faleri| first6 = M.| last7 = Bacchi| first7 = C.| last8 = Sin| first8 = VC.| last9 = Wong| first9 = NL.| title = Abdominopelvic sarcoma of perivascular epithelioid cells. Report of four cases in young women, one with tuberous sclerosis.| journal = Mod Pathol| volume = 14| issue = 6| pages = 563-8| month = Jun| year = 2001| doi = 10.1038/modpathol.3880351| PMID = 11406657 }}</ref> | |||
|- | |||
| [[Paraganglioma-like dermal melanocytic tumour]] | |||
| Miscellaneous | |||
| <ref name=pmid15577676>{{Cite journal | last1 = Deyrup| first1 = AT.| last2 = Althof| first2 = P.| last3 = Zhou| first3 = M.| last4 = Morgan| first4 = M.| last5 = Solomon| first5 = AR.| last6 = Bridge| first6 = JA.| last7 = Weiss| first7 = SW.| title = Paraganglioma-like dermal melanocytic tumor: a unique entity distinct from cellular blue nevus, clear cell sarcoma, and cutaneous melanoma.| journal = Am J Surg Pathol| volume = 28| issue = 12| pages = 1579-86| month = Dec| year = 2004| doi = | PMID = 15577676 }}</ref> | |||
|- | |||
| [[Carcinoma]] | |||
| Epithelial tumours | |||
|HCC and adrenal cortical carcinoma, often AE1/AE3 -ve | |||
|- | |||
| [[Hepatoid Adenocarcinoma]] | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Malignant mixed Muellerian tumour]] | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Myoepithelial carcinoma]] | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Myoepithelioma of soft tissue]] | |||
| Epithelial tumours | |||
| may mimic [[extraskeletal myxoid chondrosarcoma]] or proximal variant of [[epithelial sarcoma]] | |||
|- | |||
| [[Acinar cell carcinoma]] | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Neuroendocrine carcinoma]] | |||
| Epithelial tumours | |||
| may have a rhabdoid morphology<ref name=pmid12717248>{{Cite journal | last1 = Perez-Montiel| first1 = MD.| last2 = Frankel| first2 = WL.| last3 = Suster| first3 = S.| title = Neuroendocrine carcinomas of the pancreas with 'Rhabdoid' features.| journal = Am J Surg Pathol| volume = 27| issue = 5| pages = 642-9| month = May| year = 2003| doi = | PMID = 12717248 }}</ref> | |||
|- | |||
| [[Medullary thyroid carcinoma]] | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Thymoma]] | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Cutaneous myoepithelioma]] | |||
| Epithelial tumours | |||
| <ref name=pmid11224605>{{Cite journal | last1 = Kutzner| first1 = H.| last2 = Mentzel| first2 = T.| last3 = Kaddu| first3 = S.| last4 = Soares| first4 = LM.| last5 = Sangueza| first5 = OP.| last6 = Requena| first6 = L.| title = Cutaneous myoepithelioma: an under-recognized cutaneous neoplasm composed of myoepithelial cells.| journal = Am J Surg Pathol| volume = 25| issue = 3| pages = 348-55| month = Mar| year = 2001| doi = | PMID = 11224605 }}</ref> | |||
|- | |||
| Cutaneous adnexal tumours ([[spiradenoma]], [[acrospiroma]]) | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Hyaline-rich chondroid syringoma]] | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Hurthle cell tumour]] | |||
| Epithelial tumours | |||
| | |||
|- | |||
| [[Mesothelioma]] | |||
| Epithelial tumours | |||
| "lymphohistiocytoid" variant | |||
|- | |||
| [[Seminoma]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| | |||
|- | |||
| [[Embryonal carcinoma]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| | |||
|- | |||
| [[Yolk sac tumour]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| consider hepatoid variant | |||
|- | |||
| [[Choriocarcinoma]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| | |||
|- | |||
| [[Epithelioid trophoblastic tumour]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| | |||
|- | |||
| [[Granulosa cell tumour]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| | |||
|- | |||
| [[Endometrial stromal sarcoma]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| high grade | |||
|- | |||
| [[Lipid Cell tumour of ovary]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| | |||
|- | |||
| [[Sertoli cell tumour]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| also [[Sertoli-Leydig cell tumour]] | |||
|- | |||
| [[Leydig cell tumour]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| also [[Sertoli-Leydig cell tumour]] | |||
|- | |||
| [[Epithelioid trophoblastic tumour]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| <ref name=pmid10571512>{{Cite journal | last1 = Hamazaki| first1 = S.| last2 = Nakamoto| first2 = S.| last3 = Okino| first3 = T.| last4 = Tsukayama| first4 = C.| last5 = Mori| first5 = M.| last6 = Taguchi| first6 = K.| last7 = Okada| first7 = S.| title = Epithelioid trophoblastic tumor: morphological and immunohistochemical study of three lung lesions.| journal = Hum Pathol| volume = 30| issue = 11| pages = 1321-7| month = Nov| year = 1999| doi = | PMID = 10571512 }}</ref><ref name=pmid9808132>{{Cite journal | last1 = Shih| first1 = IM.| last2 = Kurman| first2 = RJ.| title = Epithelioid trophoblastic tumor: a neoplasm distinct from choriocarcinoma and placental site trophoblastic tumor simulating carcinoma.| journal = Am J Surg Pathol| volume = 22| issue = 11| pages = 1393-403| month = Nov| year = 1998| doi = | PMID = 9808132 }}</ref> | |||
|- | |||
| [[Placental site trophoblastic tumour]] | |||
| Germ- cell / Sex-Cord Stromal | |||
|(USCAP04, Gyn spec conf, case 3, vaginal | |||
|- | |||
| [[Testicular tumour of the adrenogenital syndrome]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| Inhibin -ve, dark brown-green-black, similar to Leydig tumour | |||
|- | |||
| [[Extrauterine lesion of intermediate trophoblast]] | |||
| Germ- cell / Sex-Cord Stromal | |||
| very rare | |||
|- | |||
| [[Lymphoma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Hodgkin's lymphoma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| syncytial or lymphocyte-depleted | |||
|- | |||
| [[Extramedullary monoblastic leukemia]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Histiocytic sarcoma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| "True" histiocytic lymphoma | |||
|- | |||
| [[Langerhans cell histiocytosis ]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Rosai-Dorfman disease]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Crystal-storing histiocytosis]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Erdheim-Chester disease]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| foamy histiocytes | |||
|- | |||
| [[Rhinoscleroma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| foamy histiocytes and chronic inflammation | |||
|- | |||
| [[Granuloma annulare]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Anaplastic myeloma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Extramedullary myeloid leukemia]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Extramedullary lymphoid leukemia]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Extramedullary megakaryoblastic leukemia]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Erythroleukemia]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| may be EMA +ve | |||
|- | |||
| [[Juvenile xanthogranuloma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Paraganglioma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| also [[pheochromocytoma]] | |||
|- | |||
| [[High grade olfactory neuroblastoma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Epithelioid MPNST]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| reported to have focal melanocytic differentiation in some cases{{fact}} | |||
|- | |||
| [[Glioblastoma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Epithelioid schwannoma / neurofibroma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Benign epithelioid nerve sheath tumour]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Chordoma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Meningioma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| [[chordoid meningioma]] | |||
|- | |||
| [[Parachordoma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| <ref name=pmid10478665>{{Cite journal | last1 = Folpe| first1 = AL.| last2 = Agoff| first2 = SN.| last3 = Willis| first3 = J.| last4 = Weiss| first4 = SW.| title = Parachordoma is immunohistochemically and cytogenetically distinct from axial chordoma and extraskeletal myxoid chondrosarcoma.| journal = Am J Surg Pathol| volume = 23| issue = 9| pages = 1059-67| month = Sep| year = 1999| doi = | PMID = 10478665 }}</ref> | |||
|- | |||
| [[Ependymoma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Epithelioid perineurioma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Hemangioblastoma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| may be extraneural | |||
|- | |||
| [[Rhabdoid tumour]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| INI1 -ve | |||
|- | |||
| [[Mucosal epithelioid nerve sheath tumour]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Neurothekeoma]] | |||
| Neural - Neuroendocrine - Neuraxis Tumours | |||
| | |||
|- | |||
| [[Pleomorphic rhabdomyosarcoma]] | |||
| Muscle-related tumours | |||
| | |||
|- | |||
| [[Epithelioid leiomyosarcoma]] | |||
| Muscle-related tumours | |||
| | |||
|- | |||
| [[Epithelioid glomus tumour]] | |||
| Muscle-related tumours | |||
| | |||
|- | |||
| [[Granular cell tumour]] | |||
| Muscle-related tumours | |||
| neural, non-neural types | |||
|- | |||
| [[Rhabdomyoma]] | |||
| Muscle-related tumours | |||
| | |||
|- | |||
| [[Myopericytoma]] | |||
| Muscle-related tumours | |||
| <ref name=pmid16330949>{{Cite journal | last1 = Mentzel| first1 = T.| last2 = Dei Tos| first2 = AP.| last3 = Sapi| first3 = Z.| last4 = Kutzner| first4 = H.| title = Myopericytoma of skin and soft tissues: clinicopathologic and immunohistochemical study of 54 cases.| journal = Am J Surg Pathol| volume = 30| issue = 1| pages = 104-13| month = Jan| year = 2006| doi = | PMID = 16330949 }}</ref> | |||
|- | |||
| [[Epithelioid angiosarcoma]] | |||
| Vascular tumours | |||
| | |||
|- | |||
| [[Epithelioid hemangioendothelioma]] | |||
| Vascular tumours | |||
| | |||
|- | |||
| [[Epith sarcoma-like hemangioendothelioma ]] | |||
| Vascular tumours | |||
| | |||
|- | |||
| [[Composite hemangioendothelioma]] | |||
| Vascular tumours | |||
| | |||
|- | |||
| [[Hemangiopericytoma]] | |||
| Vascular tumours | |||
| | |||
|- | |||
| [[Cutaneous epithelioid angiomatous nodule ]] | |||
| Vascular tumours | |||
| | |||
|- | |||
| [[Bacillary angiomatosis ]] | |||
| Vascular tumours | |||
| | |||
|- | |||
| [[Malignant pigmented villonodular synovitis]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Multicentric Reticulohistiocytosis]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Follicular dendritic cell sarcoma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Interdigitating reticulum cell sarcoma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
|S-100 +ve | |||
|- | |||
| [[Diffuse type tenosynovial giant cell tumour]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Malakoplakia]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Kikuchi's disease]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Xanthogranuloma]] | |||
| Hematolymphoid / Histiocytic tumours | |||
| | |||
|- | |||
| [[Epithelioid sarcoma]] | |||
| Miscellaneous mesencchymal tumours | |||
| especially proximal variant | |||
|- | |||
| [[Synovial sarcoma]] | |||
| Miscellaneous mesencchymal tumours | |||
| poorly differentiated | |||
|- | |||
| [[Alveolar soft part sarcoma]] | |||
| Miscellaneous mesencchymal tumours | |||
| TFE3 +ve | |||
|- | |||
| [[Gastrointestinal stromal tumour]] | |||
| Miscellaneous mesencchymal tumours | |||
| | |||
|- | |||
| [[Round cell liposarcoma]] | |||
| Miscellaneous mesencchymal tumours | |||
| | |||
|- | |||
| [[Dedifferentiated liposarcoma]] | |||
| Miscellaneous mesencchymal tumours | |||
| | |||
|- | |||
| [[Epithelioid variant of pleomorphic liposarcoma]] | |||
| Miscellaneous mesencchymal tumours | |||
| | |||
|- | |||
| [[Polyphenotypic small cell tumour]] | |||
| Miscellaneous mesencchymal tumours | |||
| | |||
|- | |||
| [[Ewing Sarcoma / PNET, large cell type]] | |||
| Miscellaneous mesencchymal tumours | |||
| | |||
|- | |||
| [[Epithelioid fibrous histiocytoma]] | |||
| Myofibroblastic - fibroblastic tumours | |||
| | |||
|- | |||
| [[Inflammatory malignant fibrous histiocytoma]] | |||
| Myofibroblastic - fibroblastic tumours | |||
| | |||
|- | |||
| [[Sclerosing epithelioid fibrosarcoma]] | |||
| Myofibroblastic - fibroblastic tumours | |||
| | |||
|- | |||
| [[Epithlelioid myofibroblastoma]] | |||
| Myofibroblastic - fibroblastic tumours | |||
| | |||
|- | |||
| [[Angiomatoid malignant fibrous histiocytoma]] | |||
| Myofibroblastic - fibroblastic tumours | |||
| | |||
|- | |||
| [[Inflammatory myxohyaline tumour of distal extremities with virocyte or Reed-Sternberg like cells]] | |||
| Myofibroblastic - fibroblastic tumours | |||
| | |||
|- | |||
| [[Acral myxoinflammatory fibroblastic sarcoma]] | |||
| Myofibroblastic - fibroblastic tumours | |||
| | |||
|- | |||
| [[Angiomyofibroblastoma]] | |||
| Myofibroblastic - fibroblastic tumours | |||
| | |||
|- | |||
| [[Epithelioid osteosarcoma]] | |||
| Chondro-osseous tumours | |||
| | |||
|- | |||
| [[Extraskeletal myxoid chondrosarcoma, high grade]] | |||
| Chondro-osseous tumours | |||
| | |||
|- | |||
| [[Epithelioid multinodular osteoblastoma]] | |||
| Chondro-osseous tumours | |||
| may mimic [[osteosarcoma]]<ref name=pmid17667552>{{Cite journal | last1 = Zon Filippi| first1 = R.| last2 = Swee| first2 = RG.| last3 = Krishnan Unni| first3 = K.| title = Epithelioid multinodular osteoblastoma: a clinicopathologic analysis of 26 cases.| journal = Am J Surg Pathol| volume = 31| issue = 8| pages = 1265-8| month = Aug| year = 2007| doi = 10.1097/PAS.0b013e31803402e7| PMID = 17667552 }}</ref> | |||
|- | |||
| [[Radiation effect]] | |||
| Miscellaneous | |||
| | |||
|- | |||
|} | |||
==See also== | ==See also== | ||
*[[Spindle cell lesions]]. | *[[Spindle cell lesions]]. | ||
*[[ | *[[Basics]]. | ||
*[[Pleomorphic tumours]]. | |||
==References== | ==References== | ||
{{Reflist| | {{Reflist|2}} | ||
[[Category:Basics]] | [[Category:Basics]] |
Revision as of 02:37, 7 October 2013
Epithelioid cell lesions are very common in pathology. Malignant epithelioid lesions are usually a carcinoma.
Differential diagnosis
A short DDx
- Carcinoma (primary and metastatic).
- Malignant melanoma.
- Sarcoma.
Epithelioid sarcomas
All rules are made to be broken... some epithelioid lesions are sarcomas:[1]
- Epithelioid sarcoma.
- Epithelioid angiosarcoma.
- Alveolar soft part sarcoma.
- Rhabdoid tumour.
Others:
- Clear cell sarcoma.
- Epithelioid gastrointestinal stromal tumour.
- Synovial sarcoma, primitive round cell type.
- Sarcomas in the small round cell tumours group, e.g. Ewing sarcoma.
Note:
- A more complete list is below.
Large epithelioid tumours
The following is an exhaustive DDx for a large epithelioid tumour.
Tumour | Group | Notes/comments |
---|---|---|
Melanoma | Miscellaneous | |
PEComa | Miscellaneous | esp. epithelioid angiomyolipoma |
Perivascular epithelioid cell sarcoma | Miscellaneous | type of PEComa, looks like clear cell carcinoma[2] |
Paraganglioma-like dermal melanocytic tumour | Miscellaneous | [3] |
Carcinoma | Epithelial tumours | HCC and adrenal cortical carcinoma, often AE1/AE3 -ve |
Hepatoid Adenocarcinoma | Epithelial tumours | |
Malignant mixed Muellerian tumour | Epithelial tumours | |
Myoepithelial carcinoma | Epithelial tumours | |
Myoepithelioma of soft tissue | Epithelial tumours | may mimic extraskeletal myxoid chondrosarcoma or proximal variant of epithelial sarcoma |
Acinar cell carcinoma | Epithelial tumours | |
Neuroendocrine carcinoma | Epithelial tumours | may have a rhabdoid morphology[4] |
Medullary thyroid carcinoma | Epithelial tumours | |
Thymoma | Epithelial tumours | |
Cutaneous myoepithelioma | Epithelial tumours | [5] |
Cutaneous adnexal tumours (spiradenoma, acrospiroma) | Epithelial tumours | |
Hyaline-rich chondroid syringoma | Epithelial tumours | |
Hurthle cell tumour | Epithelial tumours | |
Mesothelioma | Epithelial tumours | "lymphohistiocytoid" variant |
Seminoma | Germ- cell / Sex-Cord Stromal | |
Embryonal carcinoma | Germ- cell / Sex-Cord Stromal | |
Yolk sac tumour | Germ- cell / Sex-Cord Stromal | consider hepatoid variant |
Choriocarcinoma | Germ- cell / Sex-Cord Stromal | |
Epithelioid trophoblastic tumour | Germ- cell / Sex-Cord Stromal | |
Granulosa cell tumour | Germ- cell / Sex-Cord Stromal | |
Endometrial stromal sarcoma | Germ- cell / Sex-Cord Stromal | high grade |
Lipid Cell tumour of ovary | Germ- cell / Sex-Cord Stromal | |
Sertoli cell tumour | Germ- cell / Sex-Cord Stromal | also Sertoli-Leydig cell tumour |
Leydig cell tumour | Germ- cell / Sex-Cord Stromal | also Sertoli-Leydig cell tumour |
Epithelioid trophoblastic tumour | Germ- cell / Sex-Cord Stromal | [6][7] |
Placental site trophoblastic tumour | Germ- cell / Sex-Cord Stromal | (USCAP04, Gyn spec conf, case 3, vaginal |
Testicular tumour of the adrenogenital syndrome | Germ- cell / Sex-Cord Stromal | Inhibin -ve, dark brown-green-black, similar to Leydig tumour |
Extrauterine lesion of intermediate trophoblast | Germ- cell / Sex-Cord Stromal | very rare |
Lymphoma | Hematolymphoid / Histiocytic tumours | |
Hodgkin's lymphoma | Hematolymphoid / Histiocytic tumours | syncytial or lymphocyte-depleted |
Extramedullary monoblastic leukemia | Hematolymphoid / Histiocytic tumours | |
Histiocytic sarcoma | Hematolymphoid / Histiocytic tumours | "True" histiocytic lymphoma |
Langerhans cell histiocytosis | Hematolymphoid / Histiocytic tumours | |
Rosai-Dorfman disease | Hematolymphoid / Histiocytic tumours | |
Crystal-storing histiocytosis | Hematolymphoid / Histiocytic tumours | |
Erdheim-Chester disease | Hematolymphoid / Histiocytic tumours | foamy histiocytes |
Rhinoscleroma | Hematolymphoid / Histiocytic tumours | foamy histiocytes and chronic inflammation |
Granuloma annulare | Hematolymphoid / Histiocytic tumours | |
Anaplastic myeloma | Hematolymphoid / Histiocytic tumours | |
Extramedullary myeloid leukemia | Hematolymphoid / Histiocytic tumours | |
Extramedullary lymphoid leukemia | Hematolymphoid / Histiocytic tumours | |
Extramedullary megakaryoblastic leukemia | Hematolymphoid / Histiocytic tumours | |
Erythroleukemia | Hematolymphoid / Histiocytic tumours | may be EMA +ve |
Juvenile xanthogranuloma | Hematolymphoid / Histiocytic tumours | |
Paraganglioma | Neural - Neuroendocrine - Neuraxis Tumours | also pheochromocytoma |
High grade olfactory neuroblastoma | Neural - Neuroendocrine - Neuraxis Tumours | |
Epithelioid MPNST | Neural - Neuroendocrine - Neuraxis Tumours | reported to have focal melanocytic differentiation in some cases[citation needed] |
Glioblastoma | Neural - Neuroendocrine - Neuraxis Tumours | |
Epithelioid schwannoma / neurofibroma | Neural - Neuroendocrine - Neuraxis Tumours | |
Benign epithelioid nerve sheath tumour | Neural - Neuroendocrine - Neuraxis Tumours | |
Chordoma | Neural - Neuroendocrine - Neuraxis Tumours | |
Meningioma | Neural - Neuroendocrine - Neuraxis Tumours | chordoid meningioma |
Parachordoma | Neural - Neuroendocrine - Neuraxis Tumours | [8] |
Ependymoma | Neural - Neuroendocrine - Neuraxis Tumours | |
Epithelioid perineurioma | Neural - Neuroendocrine - Neuraxis Tumours | |
Hemangioblastoma | Neural - Neuroendocrine - Neuraxis Tumours | may be extraneural |
Rhabdoid tumour | Neural - Neuroendocrine - Neuraxis Tumours | INI1 -ve |
Mucosal epithelioid nerve sheath tumour | Neural - Neuroendocrine - Neuraxis Tumours | |
Neurothekeoma | Neural - Neuroendocrine - Neuraxis Tumours | |
Pleomorphic rhabdomyosarcoma | Muscle-related tumours | |
Epithelioid leiomyosarcoma | Muscle-related tumours | |
Epithelioid glomus tumour | Muscle-related tumours | |
Granular cell tumour | Muscle-related tumours | neural, non-neural types |
Rhabdomyoma | Muscle-related tumours | |
Myopericytoma | Muscle-related tumours | [9] |
Epithelioid angiosarcoma | Vascular tumours | |
Epithelioid hemangioendothelioma | Vascular tumours | |
Epith sarcoma-like hemangioendothelioma | Vascular tumours | |
Composite hemangioendothelioma | Vascular tumours | |
Hemangiopericytoma | Vascular tumours | |
Cutaneous epithelioid angiomatous nodule | Vascular tumours | |
Bacillary angiomatosis | Vascular tumours | |
Malignant pigmented villonodular synovitis | Hematolymphoid / Histiocytic tumours | |
Multicentric Reticulohistiocytosis | Hematolymphoid / Histiocytic tumours | |
Follicular dendritic cell sarcoma | Hematolymphoid / Histiocytic tumours | |
Interdigitating reticulum cell sarcoma | Hematolymphoid / Histiocytic tumours | S-100 +ve |
Diffuse type tenosynovial giant cell tumour | Hematolymphoid / Histiocytic tumours | |
Malakoplakia | Hematolymphoid / Histiocytic tumours | |
Kikuchi's disease | Hematolymphoid / Histiocytic tumours | |
Xanthogranuloma | Hematolymphoid / Histiocytic tumours | |
Epithelioid sarcoma | Miscellaneous mesencchymal tumours | especially proximal variant |
Synovial sarcoma | Miscellaneous mesencchymal tumours | poorly differentiated |
Alveolar soft part sarcoma | Miscellaneous mesencchymal tumours | TFE3 +ve |
Gastrointestinal stromal tumour | Miscellaneous mesencchymal tumours | |
Round cell liposarcoma | Miscellaneous mesencchymal tumours | |
Dedifferentiated liposarcoma | Miscellaneous mesencchymal tumours | |
Epithelioid variant of pleomorphic liposarcoma | Miscellaneous mesencchymal tumours | |
Polyphenotypic small cell tumour | Miscellaneous mesencchymal tumours | |
Ewing Sarcoma / PNET, large cell type | Miscellaneous mesencchymal tumours | |
Epithelioid fibrous histiocytoma | Myofibroblastic - fibroblastic tumours | |
Inflammatory malignant fibrous histiocytoma | Myofibroblastic - fibroblastic tumours | |
Sclerosing epithelioid fibrosarcoma | Myofibroblastic - fibroblastic tumours | |
Epithlelioid myofibroblastoma | Myofibroblastic - fibroblastic tumours | |
Angiomatoid malignant fibrous histiocytoma | Myofibroblastic - fibroblastic tumours | |
Inflammatory myxohyaline tumour of distal extremities with virocyte or Reed-Sternberg like cells | Myofibroblastic - fibroblastic tumours | |
Acral myxoinflammatory fibroblastic sarcoma | Myofibroblastic - fibroblastic tumours | |
Angiomyofibroblastoma | Myofibroblastic - fibroblastic tumours | |
Epithelioid osteosarcoma | Chondro-osseous tumours | |
Extraskeletal myxoid chondrosarcoma, high grade | Chondro-osseous tumours | |
Epithelioid multinodular osteoblastoma | Chondro-osseous tumours | may mimic osteosarcoma[10] |
Radiation effect | Miscellaneous |
See also
References
- ↑ Dei Tos AP, Wagner AJ, Modena P, Comandone A, Leyvraz S (August 2009). "Epithelioid soft tissue tumors". Semin. Oncol. 36 (4): 347–57. doi:10.1053/j.seminoncol.2009.06.005. PMID 19664495.
- ↑ Bonetti, F.; Martignoni, G.; Colato, C.; Manfrin, E.; Gambacorta, M.; Faleri, M.; Bacchi, C.; Sin, VC. et al. (Jun 2001). "Abdominopelvic sarcoma of perivascular epithelioid cells. Report of four cases in young women, one with tuberous sclerosis.". Mod Pathol 14 (6): 563-8. doi:10.1038/modpathol.3880351. PMID 11406657.
- ↑ Deyrup, AT.; Althof, P.; Zhou, M.; Morgan, M.; Solomon, AR.; Bridge, JA.; Weiss, SW. (Dec 2004). "Paraganglioma-like dermal melanocytic tumor: a unique entity distinct from cellular blue nevus, clear cell sarcoma, and cutaneous melanoma.". Am J Surg Pathol 28 (12): 1579-86. PMID 15577676.
- ↑ Perez-Montiel, MD.; Frankel, WL.; Suster, S. (May 2003). "Neuroendocrine carcinomas of the pancreas with 'Rhabdoid' features.". Am J Surg Pathol 27 (5): 642-9. PMID 12717248.
- ↑ Kutzner, H.; Mentzel, T.; Kaddu, S.; Soares, LM.; Sangueza, OP.; Requena, L. (Mar 2001). "Cutaneous myoepithelioma: an under-recognized cutaneous neoplasm composed of myoepithelial cells.". Am J Surg Pathol 25 (3): 348-55. PMID 11224605.
- ↑ Hamazaki, S.; Nakamoto, S.; Okino, T.; Tsukayama, C.; Mori, M.; Taguchi, K.; Okada, S. (Nov 1999). "Epithelioid trophoblastic tumor: morphological and immunohistochemical study of three lung lesions.". Hum Pathol 30 (11): 1321-7. PMID 10571512.
- ↑ Shih, IM.; Kurman, RJ. (Nov 1998). "Epithelioid trophoblastic tumor: a neoplasm distinct from choriocarcinoma and placental site trophoblastic tumor simulating carcinoma.". Am J Surg Pathol 22 (11): 1393-403. PMID 9808132.
- ↑ Folpe, AL.; Agoff, SN.; Willis, J.; Weiss, SW. (Sep 1999). "Parachordoma is immunohistochemically and cytogenetically distinct from axial chordoma and extraskeletal myxoid chondrosarcoma.". Am J Surg Pathol 23 (9): 1059-67. PMID 10478665.
- ↑ Mentzel, T.; Dei Tos, AP.; Sapi, Z.; Kutzner, H. (Jan 2006). "Myopericytoma of skin and soft tissues: clinicopathologic and immunohistochemical study of 54 cases.". Am J Surg Pathol 30 (1): 104-13. PMID 16330949.
- ↑ Zon Filippi, R.; Swee, RG.; Krishnan Unni, K. (Aug 2007). "Epithelioid multinodular osteoblastoma: a clinicopathologic analysis of 26 cases.". Am J Surg Pathol 31 (8): 1265-8. doi:10.1097/PAS.0b013e31803402e7. PMID 17667552.