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"Fat-rich" (Spindle Cell-poor) Variants of Atypical Spindle Cell Lipomatous Tumors Show Similar Morphologic, Immunohistochemical and Molecular Features as "Dysplastic Lipomas" Are They Related Lesions?

Identifikátory výsledku

  • Kód výsledku v IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11140%2F19%3A10395314" target="_blank" >RIV/00216208:11140/19:10395314 - isvavai.cz</a>

  • Výsledek na webu

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ylM74Oj1rS" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ylM74Oj1rS</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1097/PAS.0000000000001184" target="_blank" >10.1097/PAS.0000000000001184</a>

Alternativní jazyky

  • Jazyk výsledku

    angličtina

  • Název v původním jazyce

    "Fat-rich" (Spindle Cell-poor) Variants of Atypical Spindle Cell Lipomatous Tumors Show Similar Morphologic, Immunohistochemical and Molecular Features as "Dysplastic Lipomas" Are They Related Lesions?

  • Popis výsledku v původním jazyce

    We appreciated the interest of Dr Creytens et al in our recent publication on dysplastic lipoma.1 This tumor has: (1) a very strong male predominance, (2) a predilection for the posterior neck, upper back and shoulder regions, (3) multifocality in TILDE OPERATOR+D9119% of patients, (4) a rare association with retinoblastoma, and (5) mildly increased risk (currently estimated at around 10%) for local recurrence with simple excision, as compared with a conventional lipoma. To date, all examples have been subcutaneous, though some examples have occurred in locations were tissue planes are somewhat ambiguous (eg, the lateral/anterior neck and groin regions). The key histologic features are: (1) notable adipocytic size variation, (2) patchy (typically single cell) fat necrosis, and (3) focal adipocytic nuclear atypia. The atypical adipocytes may be mononucleated or multinucleated. The atypia is generally mild and can be quite subtle, but in some instances, it is more pronounced and similar to that seen in a conventional atypical lipomatous tumor. Immunohistochemical expression for p53 is always present, but it is limited to a subpopulation of the adipocytes, typically those with the greatest atypia. MDM2 immunoexpression can be present, but it is almost invariably less prominent than the p53 immunoexpression, and FISH analysis for MDM2 gene amplification is always negative.

  • Název v anglickém jazyce

    "Fat-rich" (Spindle Cell-poor) Variants of Atypical Spindle Cell Lipomatous Tumors Show Similar Morphologic, Immunohistochemical and Molecular Features as "Dysplastic Lipomas" Are They Related Lesions?

  • Popis výsledku anglicky

    We appreciated the interest of Dr Creytens et al in our recent publication on dysplastic lipoma.1 This tumor has: (1) a very strong male predominance, (2) a predilection for the posterior neck, upper back and shoulder regions, (3) multifocality in TILDE OPERATOR+D9119% of patients, (4) a rare association with retinoblastoma, and (5) mildly increased risk (currently estimated at around 10%) for local recurrence with simple excision, as compared with a conventional lipoma. To date, all examples have been subcutaneous, though some examples have occurred in locations were tissue planes are somewhat ambiguous (eg, the lateral/anterior neck and groin regions). The key histologic features are: (1) notable adipocytic size variation, (2) patchy (typically single cell) fat necrosis, and (3) focal adipocytic nuclear atypia. The atypical adipocytes may be mononucleated or multinucleated. The atypia is generally mild and can be quite subtle, but in some instances, it is more pronounced and similar to that seen in a conventional atypical lipomatous tumor. Immunohistochemical expression for p53 is always present, but it is limited to a subpopulation of the adipocytes, typically those with the greatest atypia. MDM2 immunoexpression can be present, but it is almost invariably less prominent than the p53 immunoexpression, and FISH analysis for MDM2 gene amplification is always negative.

Klasifikace

  • Druh

    J<sub>imp</sub> - Článek v periodiku v databázi Web of Science

  • CEP obor

  • OECD FORD obor

    30109 - Pathology

Návaznosti výsledku

  • Projekt

    <a href="/cs/project/LO1503" target="_blank" >LO1503: BIOMEDIC</a><br>

  • Návaznosti

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)<br>S - Specificky vyzkum na vysokych skolach

Ostatní

  • Rok uplatnění

    2019

  • Kód důvěrnosti údajů

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Údaje specifické pro druh výsledku

  • Název periodika

    The American Journal of Surgical Pathology

  • ISSN

    0147-5185

  • e-ISSN

  • Svazek periodika

    43

  • Číslo periodika v rámci svazku

    2

  • Stát vydavatele periodika

    US - Spojené státy americké

  • Počet stran výsledku

    2

  • Strana od-do

    289-290

  • Kód UT WoS článku

    000458401800018

  • EID výsledku v databázi Scopus

    2-s2.0-85056725042