临床与实验病理学杂志2011,Vol.27Issue(2):154-157,162,5.
间叶软骨肉瘤10例临床病理分析
Mesenchymal chondrosarcoma: a clinicopathologic analysis of 10 cases
黄瑾 1张惠箴 1周隽 1蒋智铭1
作者信息
- 1. 上海交通大学附属上海市第六人民医院病理科,上海,200233
- 折叠
摘要
Abstract
Purpose To study the clinicopathologic and radiologic features of mesenchymal chondrosarcoma. and to emphasize its diagnosis and differential diagnosis. Methods Ten cases of mesenchymal chondrosarcoma( including biopsy and surgical specimens )were reviewed. Their clinical features, radiologic: appearance and pathologic findings were analyzed. Immunophenotype was studied by immunohistochemical staining( EnVision method ). Results The mean age of patients was 28. 4 years. The male-to-female ratio was 8 ∶ 2.The most common sites of involvement were pelvis, femur and humerus. which were consistent with the conventional chondrosarcoma.Radiologically, they were lytic lesions with calcification. Histologically , they were composed of plentiful primitive small cells and relatively benign cartilaginous component. There were high probability of missed diagnosis and misdiagnosis when diagnosed by one point biopsy before operation. Conclusions Mesenchymal chondrosarcoma is a rare special type of chonclrosarcoma with poor prognosis , which has different clinicopathologic features compared to conventional chondrosarcoma and other high grade small cell malignant tumors.关键词
软组织肿瘤/骨肿瘤/间叶软骨肉瘤/免疫组织化学/病理学分类
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黄瑾,张惠箴,周隽,蒋智铭..间叶软骨肉瘤10例临床病理分析[J].临床与实验病理学杂志,2011,27(2):154-157,162,5.