Spindle Cell Carcinoma of the Larynx with Rhabdomyoblastic Heterologous Element: A Rare Form of Divergent Differentiation

被引:17
作者
Roy S. [1 ]
Purgina B. [1 ]
Seethala R.R. [1 ]
机构
[1] Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA, 15261, 3550 Terrace street, A711, Scaife hall
关键词
Carcinosarcoma; Differentiation; Larynx; Rhabdomyosarcomatous; Spindle;
D O I
10.1007/s12105-012-0402-3
中图分类号
学科分类号
摘要
Spindle cell (sarcomatoid) carcinoma of the larynx is a rare subtype of squamous cell carcinoma that shows a prominent spindle cell component with a mesenchymal phenotype. Heterologous elements may be seen in these spindled areas and usually consist of osteosarcomatous or chondrosarcomatous differentiation. We describe an unusual spindle cell carcinoma of the vocal cord in a 68 year old male which demonstrated rhabdomyosarcomatous differentiation as confirmed by desmin and myogenin immunoreactivity. Thus rhabdomyosarcomatous differentiation adds to the phenotypic spectrum of spindle cell carcinomas of the larynx and should be considered before invoking a diagnosis of true rhabdomyosarcoma of the larynx. © 2012 Springer Science+Business Media New York.
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页码:263 / 267
页数:4
相关论文
共 17 条
[1]  
Thompson L.D., Wieneke J.A., Miettinen M., Heffner D.K., Spindle cell (sarcomatoid) carcinomas of the larynx: a clinicopathologic study of 187 cases, Am J Surg Pathol, 26, pp. 153-170, (2002)
[2]  
Batsakis J.G., Suarez P., Sarcomatoid carcinomas of the upper aerodigestive tracts, Adv Anat Pathol, 7, pp. 282-293, (2000)
[3]  
Zarbo R.J., Crissman J.D., Venkat H., Weiss M.A., Spindle-cell carcinoma of the upper aerodigestive tract mucosa. An immunohistologic and ultrastructural study of 18 biphasic tumors and comparison with seven monophasic spindle-cell tumors, Am J Surg Pathol, 10, pp. 741-753, (1986)
[4]  
Carstens H.B., Cooke J.L., Mammary carcinosarcoma presenting as rhabdomyosarcoma: an ultrastructural and immunocytochemical study, Ultrastruct Pathol, 14, pp. 537-544, (1990)
[5]  
Okudela K., Nakamura N., Sano J., Ito T., Kitamura H., Thymic carcinosarcoma consisting of squamous cell carcinomatous and embryonal rhabdomyosarcomatous components. Report of a case and review of the literature, Pathol Res Pract, 197, pp. 205-210, (2001)
[6]  
Perret L., Chaubert P., Hessler D., Guillou L., Primary heterologous carcinosarcoma (metaplastic carcinoma) of the urinary bladder: a clinicopathologic, immunohistochemical, and ultrastructural analysis of eight cases and a review of the literature, Cancer, 82, pp. 1535-1549, (1998)
[7]  
Tsuneyama K., Sasaki M., Sabit A., Yokoi K., Arano Y., Imai T., Et al., A case report of gastric carcinosarcoma with rhabdomyosarcomatous and neuroendocrinal differentiation, Pathol Res Pract, 195, pp. 93-97, (1999)
[8]  
Hansel D.E., Epstein J.I., Sarcomatoid carcinoma of the prostate: a study of 42 cases, Am J Surg Pathol, 30, pp. 1316-1321, (2006)
[9]  
Srinivasan U., Talvalkar G.V., True carcinosarcoma of the larynx: a case report, J Laryngol Otol, 93, pp. 1031-1035, (1979)
[10]  
Goldman R.L., Weidner N., Pure squamous cell carcinoma of the larynx with cervical nodal metastasis showing rhabdomyosarcomatous differentiation. Clinical, pathologic, and immunohistochemical study of a unique example of divergent differentiation, Am J Surg Pathol, 17, pp. 415-421, (1993)