Preview

Bone and soft tissue sarcomas, tumors of the skin

Advanced search

Inflammatory fibrosarcoma: a clinicopathologic study of 6 cases

Abstract

Inflammatory fibrosarcoma is very uncommon low grade myofibroblastic tumor. We report the pathologic features of inflammatory fibrosarcoma and outcomes of the 6 patients. The age ranged from 12 to 64 years; 3 patients were younger than 25 year. The diagnosis of inflammatory fibrosarcoma was made by autopsy in 4 patients. 2 patients had local recurrences and 4 patients had distant metastases. Follow-up showed the death of 4 patients during 7-14 month after diagnosis. The tumors were 7-12 cm; sites included the mediastinum (4 patients), pelvis and liver. All tumors showed predominantly the hypercellularity and atypical cytologic features of inflammatory myofibroblastic tumor, however, areas of nuclear enlargement and necrosis were identified. Immunohistochemically, cytoplasmic ALK1 reactivity was seen only in 1 patient. The ALK rearrangement was confirmed by FISH in same case.

Keywords

ALK

About the Authors

O. P. Bliznyukov
Russian Roentgen-Radiological Research Center MH
Russian Federation


N. A. Kozlov
N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences
Russian Federation


References

1. Chan J.K.C. Inflammatory pseudotumor: a family of lesions of diverse nature and etiologies. Adv. Anat. Pathol. 1996, v. 3, p. 156-164.

2. Coffin C.M., Watterson J., Priest J.R. et al. Extrapulmonary inflammatory myofibroblastic tumor (inflammatory pseudotumor). A clinicopathologic and immunohistochemical study of 84 cases. Am. J. Surg. Pathol. 1995, v. 19, p. 859-872.

3. Coffin C.M., Fletcher J.A. Inflammatory myofibroblastic tumor. In: Fletcher C.D.M., Unni K.K., Mertens F., eds. Pathology and Genetics of Tumours of Soft Tissue and Bone. World Health Organization Classification of Tumours. Lyon: IARC Press. 2001, p. 91-93.

4. Coffin C.M., Patel A., Perkins S. et al. ALK1 and p80 expression and chromosomal rearrangements involving 2p23 in inflammatory myofibroblastic tumor. Mod. Pathol. 2001, v. 14, p. 569-576.

5. Coffin C.M., Hornick J.L., Fletcher C.D.M. Inflammatory myofibroblastic tumor. Am. J. Surg. Pathol. 2007, v. 4, p. 509-520.

6. Matsubara O., Tan-Liu N.S., Kenney R.M. et al. Inflammatory pseudotumours of the lung: progression from organizing pneumonia to fibrous histiocytoma or to plasma cell granuloma in 32 cases. Hum. Pathol. 1988, v. 19, p. 377-384.

7. Meis J.M., Enzinger F.M. Inflammatory fibrosarcoma of the mesentery and retroperitoneum. A tumor closely simulating inflammatory pseudotumor. Am. J. Surg. Pathol. 1991, v. 15, p. 1146-154.

8. Su L.D., Atayde-Perez A., Sheldon S. et al. Inflammatory myofibroblastic tumor: cytogenetic evidence supporting clonal origin. Mod. Pathol. 1998, v. 11, p. 364-371.

9. Umiker W.O., Iverson A. Postinflammatory 'tumor' of the lung. Report of the four cases simulating xanthoma, fibroma or plasma cell granuloma. J. Thorac. Cardiovasc. Surg. 1954, v. 28, p. 55-63.

10. Weiss S.W., Goldblum J.R. Enzinger and Weiss's Soft Tissue Tumors. 5 ed, Mosby. 2008.


Review

For citations:


Bliznyukov O.P., Kozlov N.A. Inflammatory fibrosarcoma: a clinicopathologic study of 6 cases. Bone and soft tissue sarcomas, tumors of the skin. 2011;(2):40-46. (In Russ.)

Views: 74


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2219-4614 (Print)
ISSN 2782-3687 (Online)