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Is mammary not otherwise specified-type sarcoma with CD10 expression a distinct entity? A rare case report with immunohistochemical and ultrastructural study

机译:带有CD10表达的乳腺肉瘤是否不是其他实体?免疫组织化学和超微结构研究的罕见病例报告

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摘要

AbstractMammary sarcoma is extremely rare and the diagnosis is established only after metaplastic carcinomas and malignant phyllodes tumours are excluded. A rare case of not otherwise specified-type sarcoma with CD10 expression in the left breast in a 45-year-old female was presented. It was a high-grade tumour composed of spindle cells histologically. The immunohistochemical results showed that CD10, vimentin and EGFR were positive diffusely and SMA presented focally, whereas epithelial markers and other myoepithelial or myogenic markers were all negative. The electron microscope investigation demonstrated fibroblast-like features. The exact entity of the tumour remains to be studied because it resembles undifferentiated sarcoma or sarcomatoid metaplastic carcinoma to some degree, as well as high-grade malignant phyllodes tumour in particular.
机译:摘要乳腺肉瘤极为罕见,只有排除了化生性癌和恶性叶状肿瘤后才能作出诊断。提出了一个罕见病例,即一名45岁女性左乳房中CD10表达异常的其他类型肉瘤。在组织学上是由梭形细胞组成的高级肿瘤。免疫组化结果显示,CD10,波形蛋白和EGFR呈弥漫性阳性,SMA呈局灶性表达,而上皮标记和其他肌上皮或成肌标记均为阴性。电子显微镜研究证明了成纤维细胞样的特征。肿瘤的确切实体仍有待研究,因为它在某种程度上类似于未分化的肉瘤或肉瘤样化生癌,尤其是高度恶性的叶状肿瘤。

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