透過您的圖書館登入
IP:18.189.2.122
  • 期刊
  • OpenAccess

Variability of Histologic Pattern in Recurrent Soft Tissue Sarcoma Originally Diagnosed as Liposarcoma

異型新生之後腹腔脂肪肉瘤

摘要


關於軟組織肉瘤之組織病理分類及臨床特徵的文獻已相當完備,然而針對復發之去分化後腹腔軟組織肉瘤的討論文章則相當希少。我們提出一病例為後腹腔脂肪肉瘤,於接受廣泛切除十六個月後,再生一巨大後腹腔腫瘤,經第二次手術切除,病理特殊染色報告為橫紋肌肉瘤。此種失去原先特殊細胞標記而轉化至另一類之現像即稱為“抗原轉移”。此為相當罕見之病歷,特回顧國內外文獻,討論此病歷於中胚層細胞分化模型當中之地位,並提出不同組織型態之軟組織腫瘤其所共有的始祖細胞。

關鍵字

去分化 脂肪肉瘤

並列摘要


The clinicopathologic significance and histopathologic classification of liposarcoma are well delineated in previous studies, but the literature on recurrent dediffenentiated liposarcoma is rare. We described a case of recurrent dedifferentiated retroperitoneal liposarcoma with light microscopy features of rhabdomyosarcoma. This loss of one cell-specific marker and gain of another is termed the ”antigenic shift” phenomenon and appeared to foretell the emergence of a true second phenotype. The literature on dedifferentiated liposarcoma is reviewed, and the significance of this case in terms of a current model of mesenchymal differentiation is discussed, with particular attention to the postulate of a common precursor for a variety of soft-tissue tumor histologies.

並列關鍵字

Dedifferentiation Liposarcoma

延伸閱讀