Follicular Dendritic Cell Sarcoma of Uterine Corpus: Report of 2 Cases.


Journal

International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists
ISSN: 1538-7151
Titre abrégé: Int J Gynecol Pathol
Pays: United States
ID NLM: 8214845

Informations de publication

Date de publication:
01 Jul 2023
Historique:
medline: 22 6 2023
pubmed: 1 9 2022
entrez: 31 8 2022
Statut: ppublish

Résumé

Follicular dendritic cell sarcoma is a rare dendritic/histiocytic tumor of intermediate malignant potential, which often involves extranodal sites, most commonly the gastrointestinal tract and mediastinum with only 5 cases reported in the female genital tract. We present the clinical and pathologic features of 2 such examples arising in the uterine corpus. Both patients (63 and 72-yr old) presented with postmenopausal bleeding and underwent an endometrial biopsy diagnostic of follicular dendritic cell sarcoma that was followed by hysterectomy. The tumors were polypoid, 3.5 and 5.0 cm, and were confined to the endometrium. Microscopically, ovoid to round to spindled tumor cells with pale eosinophilic cytoplasm and vesicular nuclei were arranged predominantly in sheets with an accompanying lymphocyte-rich inflammatory infiltrate. The tumor cells were positive for CD35, CD23, D2-40 in both tumors and additionally positive for CD21 in 1 tumor, all highlighting cell bodies and processes. Patients were alive without evidence of disease at 1 and 4 years with no adjuvant treatment. These cases highlight the importance of entertaining a broad differential diagnosis in lesions with epithelioid and/or spindled morphology involving the uterus.

Identifiants

pubmed: 36044301
doi: 10.1097/PGP.0000000000000903
pii: 00004347-202307000-00007
doi:

Substances chimiques

Biomarkers, Tumor 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

390-397

Informations de copyright

Copyright © 2022 by the International Society of Gynecological Pathologists.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Références

Chan JKC, Pileri SA, Fletcher CDM, et al. Follicular dendritic cell sarcoma. In: Swerdlow SHCE, Harris NL, Jaffe ES, Pileri SA, eds. WHO Classification of Tumors of Haematopoietic and Lymphoid Tissues (Revised 4th edition). IARC: Lyon; 2017.
Chen T, Gopal P. Follicular dendritic cell sarcoma. Arch Pathol Lab Med 2017;141:596–9.
Saygin C, Uzunaslan D, Ozguroglu M, et al. Dendritic cell sarcoma: a pooled analysis including 462 cases with presentation of our case series. Crit Rev Oncol Hematol 2013;88:253–71.
Zaya AM, Gonzalez AC, Sandrone SS, et al. Vaginal FOLLICULAR dendritic cell sarcoma in patient with previous urinary tract carcinoma. Case report. Rev Fac Cien Med Univ Nac Cordoba 2016;73:126–31.
Nakamura T, Yoshihara M, Tamauchi S, et al. Follicular dendritic cell sarcoma of the uterine cervix: a case report. BMC Womens Health 2020;20:182.
Yang Y, Liu L, Lin J, et al. 18F-FDG PET/CT in uterine follicular dendritic cell sarcoma. Clin Nucl Med 2021;46:e485–e7.
Griffin GK, Sholl LM, Lindeman NI, et al. Targeted genomic sequencing of follicular dendritic cell sarcoma reveals recurrent alterations in NF-kappaB regulatory genes. Mod Pathol 2016;29:67–74.
Sartorelli V FdAFLA, Camargo Guimaraes Forghieri M, Leitao L, et al. Rare presentation of adnexal mass: follicular dendritic cell sarcoma, a case report. Int J Gynecol Cancer 2019;29:A150.
Monda L, Warnke R, Rosai J. A primary lymph node malignancy with features suggestive of dendritic reticulum cell differentiation. A report of 4 cases. Am J Pathol 1986;122:562–72.
Shia J, Chen W, Tang LH, et al. Extranodal follicular dendritic cell sarcoma: clinical, pathologic, and histogenetic characteristics of an underrecognized disease entity. Virchows Arch 2006;449:148–58.
Chan JK, Fletcher CD, Nayler SJ, et al. Follicular dendritic cell sarcoma. Clinicopathologic analysis of 17 cases suggesting a malignant potential higher than currently recognized. Cancer 1997;79:294–313.
Kaur R, Mehta J, Borges A. Extranodal ollicular dendritic cell sarcoma—a review: “What the Mind Does Not Know the Eye Does Not See”. Adv Anat Pathol 2021;28:21–9.
Andersen EF, Paxton CN, O’Malley DP, et al. Genomic analysis of follicular dendritic cell sarcoma by molecular inversion probe array reveals tumor suppressor-driven biology. Mod Pathol 2017;30:1321–34.
Massoth LR, Hung YP, Ferry JA, et al. Histiocytic and dendritic cell sarcomas of hematopoietic origin share targetable genomic alterations distinct from follicular dendritic cell sarcoma. Oncologist 2021;26:e1263–e72.
Perry AM, Nelson M, Sanger WG, et al. Cytogenetic abnormalities in follicular dendritic cell sarcoma: report of two cases and literature review. In Vivo 2013;27:211–4.
Yu H, Gibson JA, Pinkus GS, et al. Podoplanin (D2-40) is a novel marker for follicular dendritic cell tumors. Am J Clin Pathol 2007;128:776–82.
Grogg KL, Lae ME, Kurtin PJ, et al. Clusterin expression distinguishes follicular dendritic cell tumors from other dendritic cell neoplasms: report of a novel follicular dendritic cell marker and clinicopathologic data on 12 additional follicular dendritic cell tumors and 6 additional interdigitating dendritic cell tumors. Am J Surg Pathol 2004;28:988–98.
Lorenzi L, Doring C, Rausch T, et al. Identification of novel follicular dendritic cell sarcoma markers, FDCSP and SRGN, by whole transcriptome sequencing. Oncotarget 2017;8:16463–72.
Bennett JA, Nardi V, Rouzbahman M, et al. Inflammatory myofibroblastic tumor of the uterus: a clinicopathological, immunohistochemical, and molecular analysis of 13 cases highlighting their broad morphologic spectrum. Mod Pathol 2017;30:1489–503.
Parra-Herran C, Quick CM, Howitt BE, et al. Inflammatory myofibroblastic tumor of the uterus: clinical and pathologic review of 10 cases including a subset with aggressive clinical course. Am J Surg Pathol 2015;39:157–68.
Banet N, Ning Y, Montgomery EA. Inflammatory myofibroblastic tumor of the placenta: a report of a novel lesion in 2 patients. Int J Gynecol Pathol 2015;34:419–23.
Makhdoum S, Nardi V, Devereaux KA, et al. Inflammatory myofibroblastic tumors associated with the placenta: a series of 9 cases. Hum Pathol 2020;106:62–73.
Devereaux KA, Fitzpatrick MB, Hartinger S, et al. Pregnancy-associated inflammatory myofibroblastic tumors of the uterus are clinically distinct and highly enriched for TIMP3-ALK and THBS1-ALK fusions. Am J Surg Pathol 2020;44:970–81.
Cheuk W, Chan JK, Shek TW, et al. Inflammatory pseudotumor-like follicular dendritic cell tumor: a distinctive low-grade malignant intra-abdominal neoplasm with consistent Epstein-Barr virus association. Am J Surg Pathol 2001;25:721–31.
Arber DA, Weiss LM, Chang KL. Detection of Epstein-Barr Virus in inflammatory pseudotumor. Semin Diagn Pathol 1998;15:155–60.
Collins K, Ramalingam P, Euscher ED, et al. Uterine inflammatory myofibroblastic neoplasms with aggressive behavior, including an epithelioid inflammatory myofibroblastic sarcoma: a clinicopathologic study of 9 cases. Am J Surg Pathol 2022;46:105–17.
Marino-Enriquez A, Wang WL, Roy A, et al. Epithelioid inflammatory myofibroblastic sarcoma: an aggressive intra-abdominal variant of inflammatory myofibroblastic tumor with nuclear membrane or perinuclear ALK. Am J Surg Pathol 2011;35:135–44.
Fuehrer NE, Keeney GL, Ketterling RP, et al. ALK-1 protein expression and ALK gene rearrangements aid in the diagnosis of inflammatory myofibroblastic tumors of the female genital tract. Arch Pathol Lab Med 2012;136:623–6.
Mohammad N, Haimes JD, Mishkin S, et al. ALK is a specific diagnostic marker for inflammatory myofibroblastic tumor of the uterus. Am J Surg Pathol 2018;42:1353–9.
Takahashi A, Kurosawa M, Uemura M, et al. Anaplastic lymphoma kinase-negative uterine inflammatory myofibroblastic tumor containing the ETV6-NTRK3 fusion gene: a case report. J Int Med Res 2018;46:3498–503.
Cheek EH, Fadra N, Jackson RA, et al. Uterine inflammatory myofibroblastic tumors in pregnant women with and without involvement of the placenta: a study of 6 cases with identification of a novel TIMP3-RET fusion. Hum Pathol 2020;97:29–39.
Bennett JA, Wang P, Wanjari P, et al. Uterine inflammatory myofibroblastic tumor: First report of a ROS1 fusion. Genes Chromosomes Cancer 2021;60:822–6.
Ferry JA, Harris NL, Scully RE. Uterine leiomyomas with lymphoid infiltration simulating lymphoma. A report of seven cases. Int J Gynecol Pathol 1989;8:263–70.
Wingen CB, Pauwels PA, Debiec-Rychter M, et al. Uterine gastrointestinal stromal tumour (GIST). Gynecol Oncol 2005;97:970–2.
Miettinen M, Felisiak-Golabek A, Wang Z, et al. GIST manifesting as a retroperitoneal tumor: clinicopathologic immunohistochemical, and molecular genetic study of 112 cases. Am J Surg Pathol 2017;41:577–85.
Irving JA, Lerwill MF, Young RH. Gastrointestinal stromal tumors metastatic to the ovary: a report of five cases. Am J Surg Pathol 2005;29:920–6.
Terada T. Gastrointestinal stromal tumor of the uterus: a case report with genetic analyses of c-kit and PDGFRA genes. Int J Gynecol Pathol 2009;28:29–34.
Novelli M, Rossi S, Rodriguez-Justo M, et al. DOG1 and CD117 are the antibodies of choice in the diagnosis of gastrointestinal stromal tumours. Histopathology 2010;57:259–70.
Vang R, Medeiros LJ, Fuller GN, et al. Non-Hodgkin’s lymphoma involving the gynecologic tract: a review of 88 cases. Adv Anat Pathol 2001;8:200–17.
Harris NL, Scully RE. Malignant lymphoma and granulocytic sarcoma of the uterus and vagina. A clinicopathologic analysis of 27 cases. Cancer 1984;53:2530–45.
Carbone A, Gloghini A, Libra M, et al. A spindle cell variant of diffuse large B-cell lymphoma possesses genotypic and phenotypic markers characteristic of a germinal center B-cell origin. Mod Pathol 2006;19:299–306.
Vang R, Medeiros LJ, Ha CS, et al. Non-Hodgkin’s lymphomas involving the uterus: a clinicopathologic analysis of 26 cases. Mod Pathol 2000;13:19–28.
Vang R, Medeiros LJ, Warnke RA, et al. Ovarian non-Hodgkin’s lymphoma: a clinicopathologic study of eight primary cases. Mod Pathol 2001;14:1093–9.
Mandato VD, Palermo R, Falbo A, et al. Primary diffuse large B-cell lymphoma of the uterus: case report and review. Anticancer Res 2014;34:4377–90.
Tornos C, Silva EG, Ordonez NG, et al. Endometrioid carcinoma of the ovary with a prominent spindle-cell component, a source of diagnostic confusion. A report of 14 cases. Am J Surg Pathol 1995;19:1343–53.
Hussein YR, Weigelt B, Levine DA, et al. Clinicopathological analysis of endometrial carcinomas harboring somatic POLE exonuclease domain mutations. Mod Pathol 2015;28:505–14.

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