Difference between revisions of "Solitary fibrous tumour"

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315 bytes removed ,  07:14, 15 December 2016
reformatted. @Mitchell: Do you have the permission to re-use the images here? Am J Surg Pathol is not OpenAccess by default.
(reformatted. @Mitchell: Do you have the permission to re-use the images here? Am J Surg Pathol is not OpenAccess by default.)
Line 70: Line 70:
*[http://path.upmc.edu/cases/case272.html SFT of the brain - several images (upmc.edu)].
*[http://path.upmc.edu/cases/case272.html SFT of the brain - several images (upmc.edu)].


[[File:3 18039322534203 sl 1.png|malignant solitary fibrous tumor]]
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[[File:3 18039322534203 sl 2.png|malignant solitary fibrous tumor]]
Malignant solitary fibrous tumor (low to intermediate grade tumor). 15 cm mass in upper arm of 50 year old man.<ref>Am J Surg Pathol 2014;38:552-559</ref>
[[File:3 18039322534203 sl 3.png|malignant solitary fibrous tumor]]
File:3 18039322534203 sl 1.png|malignant solitary fibrous tumor |  Hypocellular (green arrow) and hypercellular (cyan arrow) areas alternate.
[[File:3 18039322534203 sl 4.png|malignant solitary fibrous tumor]]
File:3 18039322534203 sl 2.png|malignant solitary fibrous tumor | Vascular spaces suggest antlers (staghorn). Note subcapsular hemorrhage.
File:3 18039322534203 sl 3.png|malignant solitary fibrous tumor | Stromal hyalinization
[[File:3 18039322534203 sl 4.png|malignant solitary fibrous tumor | Nuclei, lacking organization, show varied size and shape, with some cells being round to ovoid. The arrow points to myxoid focus in stroma. When a majority of the following are present, a low to intermediate grade malignant solitary fibrous tumor is present: 1) size > 5 cm (this case), 2) pleomorphism with round cells/epithelioid cells (this case), 3) subcapsular hemorrhage (this case), 4) ≥4 mitoses per 10 high power fields, 5) necrosis with perivascular tumor sparing. STAT 6 positivity is very helpful in separating this tumor from its mimics
</gallery>


Malignant solitary fibrous tumor (low to intermediate grade tumor). 15 cm mass in upper arm of 50 year old man. A. Hypocellular (green arrow) and hypercellular (cyan arrow) areas alternate.  B. Vascular spaces suggest antlers (staghorn). Note subcapsular hemorrhage.  C. Stromal hyalinization.  D. Nuclei, lacking organization, show varied size and shape, with some cells being round to ovoid. The arrow points to myxoid focus in stroma. When a majority of the following are present, a low to intermediate grade malignant solitary fibrous tumor is present: 1) size > 5 cm (this case), 2) pleomorphism with round cells/epithelioid cells (this case), 3) subcapsular hemorrhage (this case), 4) ≥4 mitoses per 10 high power fields, 5) necrosis with perivascular tumor sparing. STAT 6 positivity is very helpful in separating this tumor from its mimics. <ref name=pmid24625420>{{cite journal |author=Yoshida A1, Tsuta K, Ohno M, Yoshida M, Narita Y, Kawai A, Asamura H, Kushima R |title=STAT6 immunohistochemistry is helpful in the diagnosis of solitary fibrous tumors |journal=Am J Surg Pathol |volume=38 |issue=4 |pages=552-559 |year=2014 |month=April |pmid=24625420 |doi=10.1097/PAS.0000000000000137}}</ref>


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