Angiomatous spindle cell lipoma: Report of three cases with immunohistochemical and ultrastructural study and reappraisal of former 'pseudoangiomatous' variant
Pseudoangiomatous spindle cell lipoma (PASCL) is a rare variant of spindle cell lipoma that is composed of spindle fibroblast‐like cells and mature adipose cells, and that is further characterized by intratumoral branching spaces regarded originally to be non‐vascular (hence the adjective ‘pseudoang...
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Published in | Pathology international Vol. 57; no. 1; pp. 26 - 31 |
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Main Authors | , |
Format | Journal Article |
Language | English |
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Melbourne, Australia
Blackwell Publishing Asia
01.01.2007
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Abstract | Pseudoangiomatous spindle cell lipoma (PASCL) is a rare variant of spindle cell lipoma that is composed of spindle fibroblast‐like cells and mature adipose cells, and that is further characterized by intratumoral branching spaces regarded originally to be non‐vascular (hence the adjective ‘pseudoangiomatous’). Reported herein are three cases of this tumor, with literature review of all six cases described previously. PASCL appears to have clinical features (age, sex, location, prognosis) similar to those of conventional spindle cell lipoma (SCL). Immunohistochemically, the spindle cells in all of the present cases were positive for CD34, as in conventional SCL. All lesions had at least mild positivity for sex steroid hormone receptors. The cells lining intratumoral dilated and branching spaces typical of this variant were strongly positive for lymphatic endothelial marker D2‐40 in all cases, and for vascular markers CD31 and F‐VIII in one case. Ultrastructural study confirmed the endothelial nature of these cells. The results indicate that pseudoangiomatous SCL is truly angiomatous and should be termed as such. It could represent a sex steroid hormone‐dependent lesion. |
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AbstractList | Pseudoangiomatous spindle cell lipoma (PASCL) is a rare variant of spindle cell lipoma that is composed of spindle fibroblast-like cells and mature adipose cells, and that is further characterized by intratumoral branching spaces regarded originally to be non-vascular (hence the adjective 'pseudoangiomatous'). Reported herein are three cases of this tumor, with literature review of all six cases described previously. PASCL appears to have clinical features (age, sex, location, prognosis) similar to those of conventional spindle cell lipoma (SCL). Immunohistochemically, the spindle cells in all of the present cases were positive for CD34, as in conventional SCL. All lesions had at least mild positivity for sex steroid hormone receptors. The cells lining intratumoral dilated and branching spaces typical of this variant were strongly positive for lymphatic endothelial marker D2-40 in all cases, and for vascular markers CD31 and F-VIII in one case. Ultrastructural study confirmed the endothelial nature of these cells. The results indicate that pseudoangiomatous SCL is truly angiomatous and should be termed as such. It could represent a sex steroid hormone-dependent lesion. Pseudoangiomatous spindle cell lipoma (PASCL) is a rare variant of spindle cell lipoma that is composed of spindle fibroblast‐like cells and mature adipose cells, and that is further characterized by intratumoral branching spaces regarded originally to be non‐vascular (hence the adjective ‘pseudoangiomatou s ’). Reported herein are three cases of this tumor, with literature review of all six cases described previously. PASCL appears to have clinical features (age, sex, location, prognosis) similar to those of conventional spindle cell lipoma (SCL). Immunohistochemically, the spindle cells in all of the present cases were positive for CD34, as in conventional SCL. All lesions had at least mild positivity for sex steroid hormone receptors. The cells lining intratumoral dilated and branching spaces typical of this variant were strongly positive for lymphatic endothelial marker D2‐40 in all cases, and for vascular markers CD31 and F‐VIII in one case. Ultrastructural study confirmed the endothelial nature of these cells. The results indicate that pseudoangiomatous SCL is truly angiomatous and should be termed as such. It could represent a sex steroid hormone‐dependent lesion. |
Author | Michal, Michal Zamecnik, Michal |
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Cites_doi | 10.1046/j.1365-2559.2000.0956h.x 10.1097/00000478-198107000-00003 10.1111/j.1365-2559.2005.02098.x 10.1046/j.1365-2559.2003.01639.x 10.1111/j.1365-2559.1995.tb00324.x 10.3109/01913129509014622 10.1007/s00428-005-0007-2 10.1002/1097-0142(19810101)47:1<126::AID-CNCR2820470121>3.0.CO;2-K 10.1046/j.1365-2362.1996.380603.x 10.1046/j.1440-1827.2003.01543.x 10.1002/1097-0142(197511)36:5<1852::AID-CNCR2820360542>3.0.CO;2-U 10.1097/00000478-199801000-00005 10.1038/modpathol.3880543 10.1016/S0002-9440(10)65285-6 10.1111/j.1600-0560.1996.tb01447.x 10.1159/000276407 10.1111/j.1365-2559.1994.tb00577.x |
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References_xml | – volume: 84 start-page: 477 year: 1976 end-page: 87 article-title: Spindle cell lipoma publication-title: Acta Pathol Microbiol Scand [A] – volume: 15 start-page: 434 year: 2002 end-page: 40 article-title: Monoclonal antibody D2–40, a new marker of lymphatic endothelium, reacts with Kaposi's sarcoma and a subset of angiosarcomas publication-title: Mod Pathol – volume: 47 start-page: 126 year: 1981 end-page: 33 article-title: Pleomorphic lipoma: A benign tumor simulating liposarcoma. A clinicopathologic analysis of 48 cases publication-title: Cancer – volume: 27 start-page: 533 year: 1995 end-page: 40 article-title: Dermal spindle cell lipoma: Plexiform and nodular variants publication-title: Histopathology – volume: 46 start-page: 396 year: 2005 end-page: 402 article-title: Expression of D2–40 in lymphatic endothelium of normal tissues and in vascular tumours publication-title: Histopathology – volume: 36 start-page: 475 year: 2000 end-page: 6 article-title: Pleomorphic lipoma with pseudopapillary structures: A pleomorphic counterpart of pseudoangiomatous spindle cell lipoma publication-title: Histopathology – volume: 7 start-page: 82 year: 1994 end-page: 90 article-title: Endothelial cell markers CD31, CD34, and BNH9 antibody to H‐ and Y‐antigens: Evaluation of their specificity and sensitivity in the diagnosis of vascular tumors and comparison with von Willebrand factor publication-title: Mod Pathol – volume: 19 start-page: 475 year: 1995 end-page: 80 article-title: Spindle cell and pleomorphic lipoma: An ultrastructural study publication-title: Ultrastruct Pathol – volume: 23 start-page: 546 year: 1996 end-page: 50 article-title: Spindle cell lipoma is strongly CD34 positive. An immunohistochemical study publication-title: J Cutan Pathol – volume: 36 start-page: 1852 year: 1975 end-page: 9 article-title: Spindle cell lipoma publication-title: Cancer – volume: 5 start-page: 435 year: 1981 end-page: 41 article-title: Spindle‐cell lipoma. A clinical, light‐ and electron‐microscopical study publication-title: Am J Surg Pathol – volume: 27 start-page: 201 year: 1995 article-title: Spindle cell lipoma: A pseudoangiomatous variant publication-title: Histopathology – volume: 24 start-page: 565 year: 1994 end-page: 9 article-title: Spindle cell lipoma: A pseudoangiomatous variant publication-title: Histopathology – volume: 43 start-page: 1 year: 2003 end-page: 16 article-title: Immunohistochemistry in the diagnosis of soft tissue tumours publication-title: Histopathology – volume: 53 start-page: 671 year: 2003 end-page: 9 article-title: Expression of estrogen receptors alpha and beta in soft tissue sarcomas: Immunohistochemical and molecular analysis publication-title: Pathol Int – volume: 154 start-page: 385 year: 1999 end-page: 94 article-title: Angiosarcomas express mixed endothelial phenotypes of blood and lymphatic capillaries: Podoplanin as a specific marker for lymphatic endothelium publication-title: Am J Pathol – volume: 26 start-page: 1051 year: 1996 end-page: 6 article-title: Identification of steroid receptors in human adipose tissue publication-title: Eur J Clin Invest – volume: 29 start-page: 891 year: 1979 end-page: 8 article-title: Spindle cell lipoma: A clinicopathologic analysis of 12 cases publication-title: Acta Pathol Jpn – volume: 447 start-page: 781 year: 2005 end-page: 3 article-title: Pseudoangiomatous spindle cell lipoma with ‘true’ angiomatous features publication-title: Virchows Arch – year: 1994 – volume: 55 start-page: 147 year: 1993 end-page: 9 article-title: Spindle cell lipoma within the larynx: A case report with correlated light and electron microscopy publication-title: ORL J Otorhinolaryngol Relat Spec – volume: 22 start-page: 40 year: 1998 end-page: 48 article-title: Multiple spindle cell lipomas: A report of 7 familial and 11 nonfamilial cases publication-title: Am J Surg Pathol – start-page: 31 year: 2002 end-page: 2 – ident: e_1_2_5_13_2 doi: 10.1046/j.1365-2559.2000.0956h.x – ident: e_1_2_5_15_2 doi: 10.1097/00000478-198107000-00003 – ident: e_1_2_5_5_2 doi: 10.1111/j.1365-2559.2005.02098.x – ident: e_1_2_5_20_2 doi: 10.1046/j.1365-2559.2003.01639.x – ident: e_1_2_5_19_2 doi: 10.1111/j.1365-2559.1995.tb00324.x – ident: e_1_2_5_18_2 doi: 10.3109/01913129509014622 – ident: e_1_2_5_4_2 doi: 10.1007/s00428-005-0007-2 – volume: 27 start-page: 201 year: 1995 ident: e_1_2_5_7_2 article-title: Spindle cell lipoma: A pseudoangiomatous variant publication-title: Histopathology contributor: fullname: Richmond I – ident: e_1_2_5_12_2 doi: 10.1002/1097-0142(19810101)47:1<126::AID-CNCR2820470121>3.0.CO;2-K – ident: e_1_2_5_23_2 doi: 10.1046/j.1365-2362.1996.380603.x – ident: e_1_2_5_24_2 doi: 10.1046/j.1440-1827.2003.01543.x – ident: e_1_2_5_3_2 doi: 10.1002/1097-0142(197511)36:5<1852::AID-CNCR2820360542>3.0.CO;2-U – ident: e_1_2_5_9_2 doi: 10.1097/00000478-199801000-00005 – ident: e_1_2_5_6_2 doi: 10.1038/modpathol.3880543 – ident: e_1_2_5_22_2 doi: 10.1016/S0002-9440(10)65285-6 – volume: 84 start-page: 477 year: 1976 ident: e_1_2_5_14_2 article-title: Spindle cell lipoma publication-title: Acta Pathol Microbiol Scand [A] contributor: fullname: Angervall L – start-page: 31 volume-title: WHO Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. year: 2002 ident: e_1_2_5_10_2 contributor: fullname: Miettinen M – volume: 29 start-page: 891 year: 1979 ident: e_1_2_5_16_2 article-title: Spindle cell lipoma: A clinicopathologic analysis of 12 cases publication-title: Acta Pathol Jpn contributor: fullname: Kitano M – volume-title: Diagnostic Transmission Electron Microscopy of Tumors. year: 1994 ident: e_1_2_5_8_2 contributor: fullname: Erlandson RA – ident: e_1_2_5_11_2 doi: 10.1111/j.1600-0560.1996.tb01447.x – volume: 7 start-page: 82 year: 1994 ident: e_1_2_5_21_2 article-title: Endothelial cell markers CD31, CD34, and BNH9 antibody to H‐ and Y‐antigens: Evaluation of their specificity and sensitivity in the diagnosis of vascular tumors and comparison with von Willebrand factor publication-title: Mod Pathol contributor: fullname: Miettinen M – ident: e_1_2_5_17_2 doi: 10.1159/000276407 – ident: e_1_2_5_2_2 doi: 10.1111/j.1365-2559.1994.tb00577.x |
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Snippet | Pseudoangiomatous spindle cell lipoma (PASCL) is a rare variant of spindle cell lipoma that is composed of spindle fibroblast‐like cells and mature adipose... Pseudoangiomatous spindle cell lipoma (PASCL) is a rare variant of spindle cell lipoma that is composed of spindle fibroblast-like cells and mature adipose... |
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SubjectTerms | Aged Angiomatosis - metabolism Angiomatosis - pathology Antibodies, Monoclonal - metabolism Antibodies, Monoclonal, Murine-Derived Antigens, CD34 - metabolism Carcinoma - metabolism Carcinoma - pathology Carcinoma - ultrastructure CD31 D2-40 Diagnosis, Differential F-VIII Humans Immunohistochemistry Lipoma - metabolism Lipoma - pathology Lipoma - ultrastructure Male Microscopy, Electron Middle Aged Platelet Endothelial Cell Adhesion Molecule-1 - metabolism pseudoangiomatous spindle cell lipoma sex steroid receptor soft tissue |
Title | Angiomatous spindle cell lipoma: Report of three cases with immunohistochemical and ultrastructural study and reappraisal of former 'pseudoangiomatous' variant |
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