R. Fonseca et al., FOLLICULAR DENDRITIC CELL-SARCOMA MIMICKING DIFFUSE LARGE-CELL LYMPHOMA - A CASE-REPORT, American journal of hematology, 55(3), 1997, pp. 148-155
Follicular dendritic cell sarcomas (FDCSs) are rare tumors arising fro
m follicular dendritic cells in lymphoid tissue. Fewer than 20 cases h
ave been described in the English-language literature. We describe the
second case of an FDCS with primary liver involvement. The initial di
agnosis was lymphoma, and appropriate treatment was prescribed, After
the initial treatment failed, additional biopsy samples were obtained,
Standard pathologic analysis and immunophenotyping for a panel of mon
oclonal antibodies were performed on formalin-fixed paraffin-embedded
tissue and frozen sections. The pathologic findings were consistent wi
th FDCS, and the specimens showed some of the characteristic pathologi
c features suggestive of this tumor, Including multinucleation and a s
pindle pleomorphic morphology. The tumor cells were positive for S-100
protein, CD45, CD14, and vimentin. Because of its morphological chara
cteristics, FDCS can be confused with other neoplastic entities, such
as lymphomas and other solid tumors. (C) 1997 Wiley-Liss, Inc.