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Objective To study pathological features, diagnosis and differential diagnosis, and treatment of sclerosing epithelioid fibrosarcoma ( SEF ). Methods Clinical manifestations, pathological morphology, immunohistochemical staining, and treatment of cervicothoracic vertebrae SEF in 1 patient were analyzed with related literature review. Results The case ( male, 62-year-old ) of cervicothoracic vertebrae SEF was first reported. Primary tumors located in cervical vertebrae and thoracic vertebrae, inducing spinal cord compression. A large amount of irregular cord-like trabecular collagen was found in tumors. Rarefaction of tumor cells and spindle cells around the collagen was observed, among which were epithelial cells. Calcification and ossification were found in certain areas of the tumor. Immunohistochemical staining showed that the tumors were positive in Vimentin ( 3+ ), CD99 ( 3+ ), Bcl-2 ( 2+ ), KI-67-LI ( 15

作者:宇尧;刁小莉;杜心如;骆辉;徐子

来源:中国骨与关节杂志 2015 年 12期

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| 浏览:174 | 下载:63
作者:
宇尧;刁小莉;杜心如;骆辉;徐子
来源:
中国骨与关节杂志 2015 年 12期
标签:
脊柱 纤维肉瘤 诊断,鉴别 骨肿瘤 外科手术 Spine Fibrosarcoma Diagnosis,differential Bone neoplasms Surgical procedures,operative
Objective To study pathological features, diagnosis and differential diagnosis, and treatment of sclerosing epithelioid fibrosarcoma ( SEF ). Methods Clinical manifestations, pathological morphology, immunohistochemical staining, and treatment of cervicothoracic vertebrae SEF in 1 patient were analyzed with related literature review. Results The case ( male, 62-year-old ) of cervicothoracic vertebrae SEF was first reported. Primary tumors located in cervical vertebrae and thoracic vertebrae, inducing spinal cord compression. A large amount of irregular cord-like trabecular collagen was found in tumors. Rarefaction of tumor cells and spindle cells around the collagen was observed, among which were epithelial cells. Calcification and ossification were found in certain areas of the tumor. Immunohistochemical staining showed that the tumors were positive in Vimentin ( 3+ ), CD99 ( 3+ ), Bcl-2 ( 2+ ), KI-67-LI ( 15