Journal of Medical Case Reports | |
A 46-year-old Chinese woman presenting with retroperitoneal follicular dendritic cell sarcoma: a case report | |
Xiuping Zhang1  Jian Li1  Huanhuan Zhang1  Qiuxiang Yang1  Taize Yuan1  | |
[1] Department of Radiation Oncology, Affiliated Tumor Hospital, Guangzhou Medical University, No.78 Hengzhigang, Road, Guangzhou, Guangdong Province 510095, China | |
关键词: Therapy; Retroperitoneal; Pathology; Immunohistochemistry; Follicular dendritic cell sarcoma; | |
Others : 822349 DOI : 10.1186/1752-1947-8-113 |
|
received in 2013-12-03, accepted in 2014-02-05, 发布年份 2014 | |
【 摘 要 】
Introduction
Follicular dendritic cells are non-phagocytic, non-lymphoid cells of the immune system that are necessary for antigen presentation and the regulation of reactions in the germinal centers of the lymph nodes. Follicular dendritic cell sarcoma is an unusual cancer, particularly in the intra-abdominal region. In the present report we describe an unusual case of retroperitoneal follicular dendritic cell sarcoma that emphasizes the difficulty of diagnosing and treating this tumor. Retroperitoneal follicular dendritic cell sarcoma has only been rarely reported in the literature to date.
Case presentation
A 46-year-old Chinese woman of Han ethnicity presented with chronic right lower quadrant abdominal pain over the preceding 4 weeks. The tumor was resected and submitted to histopathological examination. The case was verified as retroperitoneal follicular dendritic cell sarcoma by microscopic examination and immunohistochemical analysis. After diagnosis, she received postoperative radiotherapy and chemotherapy. She has survived 3 years postoperatively, although she has a pulmonary metastasis.
Conclusions
Retroperitoneal follicular dendritic cell sarcoma may demonstrate aggressive potential. This study indicated that postoperative adjuvant radiotherapy and chemotherapy could extend the survival of a patient with retroperitoneal follicular dendritic cell sarcoma.
【 授权许可】
2014 Yuan et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140712100509518.pdf | 1638KB | download | |
Figure 3. | 196KB | Image | download |
Figure 2. | 253KB | Image | download |
20150311115943431.pdf | 1504KB | download |
【 图 表 】
Figure 2.
Figure 3.
【 参考文献 】
- [1]Monda L, Warnke R, Rosai J: A primary lymph node malignancy with features suggestive of dendritic reticulum cell differentiation. A report of 4 cases. Am J Pathol 1986, 122:562-572.
- [2]Chan JK, Fletcher CD, Nayler SJ, Cooper K: Follicular dendritic cell sarcoma. Clinicopathologic analysis of 17 cases suggesting a malignant potential higher than currently recognized. Cancer 1997, 79:294-313.
- [3]Karabulut B, Orhan KS, Guldiken Y, Dogan O: Follicular dendritic cell sarcoma of the nasopharynx. Int J Oral Maxillofac Surg 2012, 41:218-220.
- [4]Li L, Shi YH, Guo ZJ, Qiu T, Guo L, Yang HY, Zhang X, Zhao XM, Su Q: Clinicopathological features and prognosis assessment of extranodal follicular dendritic cell sarcoma. World J Gastroenterol 2010, 16:2504-2519.
- [5]Kairouz S, Hashash J, Kabbara W, McHayleh W, Tabbara IA: Dendritic cell neoplasms: an overview. Am J Hematol 2007, 82:924-928.
- [6]Low SE, Menasce LP, Manson CM: Follicular dendritic cell sarcoma: a rare tumor presenting as an abdominal mass. Int J Surg Pathol 2007, 15:315-317.
- [7]Sander B, Middel P, Gunawan B, Schulten HJ, Baum F, Golas MM, Schulze F, Grabbe E, Parwaresch R, Fuzesi L: Follicular dendritic cell sarcoma of the spleen. Hum Pathol 2007, 38:668-672.
- [8]Martins PN, Reddy S, Martins AB, Facciuto M: Follicular dendritic cell sarcoma of the liver: unusual presentation of a rare tumor and literature review. Hepatobiliary Pancreat Dis Int 2011, 10:443-445.
- [9]Eun YG, Kim SW, Kwon KH: Follicular dendritic cell sarcoma of the tonsil. Yonsei Med J 2010, 51:602-604.
- [10]Malik A, Veniyoor A, Fanthome B, Dutta V: Follicular dendritic cell sarcoma: a diagnostic challenge. J Cancer Res Ther 2012, 8:306-307.
- [11]Shia J, Chen W, Tang LH, Carlson DL, Qin J, Guillem JG, Nobrega J, Wong WD, Klimstra DS: Extranodal follicular dendritic cell sarcoma: clinical, pathologic, and histogenetic characteristics of an underrecognized disease entity. Virchows Arch 2006, 449:148-158.
- [12]Yu H, Gibson JA, Pinkus GS, Hornick JL: Podoplanin (D2-40) is a novel marker for follicular dendritic cell tumors. Am J Clin Pathol 2007, 128:776-782.
- [13]Long-Hua Q, Qin X, Ya-Jia G, Jian W, Xiao-Yuan F: Imaging findings of follicular dendritic cell sarcoma: report of four cases. Korean J Radiol 2011, 12:122-128.
- [14]Mondal SK, Bera H, Bhattacharya B, Dewan K: Follicular dendritic cell sarcoma of the tonsil. Natl J Maxillofac Surg 2012, 3:62-64.
- [15]Fareed MM, Memon MA, Rashid A, Furrukh M, Ahmed S, Ghouri AR, Khan A, Asghar AS: Follicular dendritic cell sarcoma of the neck with pulmonary metastases. J Coll Physicians Surg Pak 2011, 21:561-563.