Objective:To study the clinicopathologic features、diagnosis and differential diagnosis of epithelioid sarcoma.Methods:Two cases of epithelioid sarcoma were collected according to the classification of soft tissue and bone tumors(WHO
2002) and were studied by hematoxylin-eosin and immunohistochemical staining.Results:One case was proximal type epithelioid sarcoma
and the other distal type epithelioid sarcoma.The case of distal type epithelioid sarcoma was female
twenty eight years old
and the site was the left leg;histological structure was the typical pseudo-granuloma formation
the tumor cells resembled epithelioid cells
with necrosis in the center.The case of proximal type epithelioid sarcoma was female
thirty six years old
and the site was the cervix;nodal formation can be observed
the tumor cells resembled spindle cells
abd the extent of necrosis was bigger.For the immunohistochemical staining
expressions of Vimentin、EMA and CK antigen were observed in the 2 cases
while expressions of Desmin、NSE and S-100 antigen were negative.Moreover
expressions of low CK and CD34 antigen were also observed in the case of distal type epithelioid sarcoma.On the other hand
expressions of Actin、SMA and HMB-45 antigen were not observed in the case of proximal type epithelioid sarcoma.Conclusions:Epithelioid sarcoma is a rare maliglant tumor of soft tissue
It’s the key for diagnosis and differential diagnosis to combine clinic、histological structure、immunophenotype and prognosis together.
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Liu Yanquan
Lin Jie
Zhu Hongquan
Xu Qinglin
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何云
CHEN Ze-jun
Related Institution
Department of Intensive Medicine(Comprehensive ICU),The First Affiliated Hospital of Gannan Medical University,Jiangxi Provincial Key Clinical Specialized Department of Intensive Medicine
Department of Head and Neck,Chongqing Cancer Hospital
Department of Emergency,the Affiliated Hospital of Hainan Medical College
Department of Otolaryngology-Head and Neck Surgery, Children’s Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics
Department of Radiology,The First Affiliated Hospital of Chongqing Medical University