|
|
Line 271: |
Line 271: |
| =Tumours of uncertain differentiation= | | =Tumours of uncertain differentiation= |
| ==Angiomatoid fibrous histiocytoma== | | ==Angiomatoid fibrous histiocytoma== |
| ===General===
| | {{Main|Angiomatoid fibrous histiocytoma}} |
| *Rarely metastasizes.
| |
| *Children & young adults.
| |
| | |
| ===Microscopic===
| |
| Features:<ref name=Ref_WMSP624-5>{{Ref WMSP|624-5}}</ref>
| |
| *Cystic spaces with blood - simulates a vascular neoplasm.<ref name=pmid228836>{{Cite journal | last1 = Enzinger | first1 = FM. | title = Angiomatoid malignant fibrous histiocytoma: a distinct fibrohistiocytic tumor of children and young adults simulating a vascular neoplasm. | journal = Cancer | volume = 44 | issue = 6 | pages = 2147-57 | month = Dec | year = 1979 | doi = | PMID = 228836 }}</ref>
| |
| *Epithelioid to spindle cells.
| |
| **May have a histiocytic appearance.<ref>URL: [http://dermatology.cdlib.org/1605/1_case_reports/4_09-00041/patrizi.html http://dermatology.cdlib.org/1605/1_case_reports/4_09-00041/patrizi.html]. Accessed on: 15 November 2011.</ref>
| |
| *Inflammation.
| |
| **Lymphoid cuff<ref name=pmid20154033/> - lymphocytes around periphery of lesion.
| |
| *Hemorrhage.
| |
| | |
| Note:
| |
| *The first impression may be that it is [[granuloma|granulomatous inflammation]]; however, the cytoplasm doesn't fit (it isn't bubbly and it isn't sheet-like), and the nuclei aren't quite right (few footprint shaped nuclei).
| |
| | |
| ====Images====
| |
| <gallery>
| |
| Image:Angiomatoid_fibrous_histiocytoma_-_intermed_mag.jpg | AFH - intermed. mag. (WC/Nephron)
| |
| Image:Angiomatoid_fibrous_histiocytoma_-_high_mag.jpg | AFH - high mag. (WC/Nephron)
| |
| </gallery>
| |
| www:
| |
| *[http://www.sarcomaimages.com/index.php?v=Angiomatoid-Fibrous-Histiocytoma AFH (sarcomaimages.com)].
| |
| *[http://jcp.bmj.com/content/63/2/124/F1.large.jpg AFH (bmj.com)].<ref name=pmid20154033>{{Cite journal | last1 = Matsumura | first1 = T. | last2 = Yamaguchi | first2 = T. | last3 = Tochigi | first3 = N. | last4 = Wada | first4 = T. | last5 = Yamashita | first5 = T. | last6 = Hasegawa | first6 = T. | title = Angiomatoid fibrous histiocytoma including cases with pleomorphic features analysed by fluorescence in situ hybridisation. | journal = J Clin Pathol | volume = 63 | issue = 2 | pages = 124-8 | month = Feb | year = 2010 | doi = 10.1136/jcp.2009.072256 | PMID = 20154033 | url = http://jcp.bmj.com/content/63/2/124.full }}
| |
| </ref>
| |
| *[http://path.upmc.edu/cases/case512.html AFH - several images (upmc.edu)].
| |
| | |
| ===IHC===
| |
| Features:<ref name=Ref_WMSP624-5>{{Ref WMSP|624-5}}</ref>
| |
| *CD68 +ve.
| |
| *CD57 +ve.
| |
| *Desmin +ve.
| |
| *Vimentin +ve.
| |
| | |
| ===Molecular===
| |
| AFH has recurrent [[translocations]]:
| |
| *t(12;16) FUS/ATF1.
| |
| *t(12;22) EWS/ATF1.
| |
|
| |
|
| ==Aggressive angiomyxoma== | | ==Aggressive angiomyxoma== |