Pseudoangiosarcomatous carcinoma: a clinicopathological study of seven cases

Seven cases of carcinoma mimicking angiosarcoma occurring in skin (3 cases), breast (3) and lung (1) are described. The cutaneous, pulmonary and one of the breast carcinomas were poorly differentiated and squamous in type; the other two breast tumours were poorly differentiated ductal carcinomas wit...

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Veröffentlicht in:Histopathology 1992-07, Vol.21 (1), p.13-23
Hauptverfasser: BANERJEE, S.S., EYDEN, B.P., WELLS, S., McWILLIAM, L.J., HARRIS, M.
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container_issue 1
container_start_page 13
container_title Histopathology
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creator BANERJEE, S.S.
EYDEN, B.P.
WELLS, S.
McWILLIAM, L.J.
HARRIS, M.
description Seven cases of carcinoma mimicking angiosarcoma occurring in skin (3 cases), breast (3) and lung (1) are described. The cutaneous, pulmonary and one of the breast carcinomas were poorly differentiated and squamous in type; the other two breast tumours were poorly differentiated ductal carcinomas with focal squamous differentiation. Histologically, the pseudoangiosarcomatous pattern was due to complex anastomosing channels and spaces lined by neoplastic cells. The spaces contained hyaluronic acid. The neoplastic cells exhibited cytokeratin positivity but yielded negative results with the endothelial cell markers, factor VIII‐related antigen and CD 34 (QB‐END/10). Two breast tumours showed binding of UEA‐1. Ultrastructurally, unequivocal epithelial differentiation was demonstrated in six of the cases. Pathogenetically, these tumours appeared to be variants of acantholytic squamous cell carcinoma. Recognition of this unusual form of carcinoma is important, as an incorrect diagnosis of angiosarcoma may lead to inappropriate treatment and prognostication.
doi_str_mv 10.1111/j.1365-2559.1992.tb00338.x
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Recognition of this unusual form of carcinoma is important, as an incorrect diagnosis of angiosarcoma may lead to inappropriate treatment and prognostication.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>breast</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - ultrastructure</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Hemangiosarcoma - pathology</subject><subject>Hemangiosarcoma - ultrastructure</subject><subject>Histocytochemistry</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>immunohistochemistry</subject><subject>keywords</subject><subject>light microscopy</subject><subject>lung</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - ultrastructure</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>pseudoangiosarcomatous carcinoma</subject><subject>skin</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - ultrastructure</subject><subject>Tumors of the skin and soft tissue. 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Premalignant lesions</topic><topic>ultrastructure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BANERJEE, S.S.</creatorcontrib><creatorcontrib>EYDEN, B.P.</creatorcontrib><creatorcontrib>WELLS, S.</creatorcontrib><creatorcontrib>McWILLIAM, L.J.</creatorcontrib><creatorcontrib>HARRIS, M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Histopathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BANERJEE, S.S.</au><au>EYDEN, B.P.</au><au>WELLS, S.</au><au>McWILLIAM, L.J.</au><au>HARRIS, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pseudoangiosarcomatous carcinoma: a clinicopathological study of seven cases</atitle><jtitle>Histopathology</jtitle><addtitle>Histopathology</addtitle><date>1992-07</date><risdate>1992</risdate><volume>21</volume><issue>1</issue><spage>13</spage><epage>23</epage><pages>13-23</pages><issn>0309-0167</issn><eissn>1365-2559</eissn><abstract>Seven cases of carcinoma mimicking angiosarcoma occurring in skin (3 cases), breast (3) and lung (1) are described. The cutaneous, pulmonary and one of the breast carcinomas were poorly differentiated and squamous in type; the other two breast tumours were poorly differentiated ductal carcinomas with focal squamous differentiation. Histologically, the pseudoangiosarcomatous pattern was due to complex anastomosing channels and spaces lined by neoplastic cells. The spaces contained hyaluronic acid. The neoplastic cells exhibited cytokeratin positivity but yielded negative results with the endothelial cell markers, factor VIII‐related antigen and CD 34 (QB‐END/10). Two breast tumours showed binding of UEA‐1. Ultrastructurally, unequivocal epithelial differentiation was demonstrated in six of the cases. Pathogenetically, these tumours appeared to be variants of acantholytic squamous cell carcinoma. 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subjects Aged
Aged, 80 and over
Biological and medical sciences
breast
Breast Neoplasms - pathology
Breast Neoplasms - ultrastructure
Dermatology
Diagnosis, Differential
Female
Hemangiosarcoma - pathology
Hemangiosarcoma - ultrastructure
Histocytochemistry
Humans
Immunoenzyme Techniques
immunohistochemistry
keywords
light microscopy
lung
Lung Neoplasms - pathology
Lung Neoplasms - ultrastructure
Male
Medical sciences
Middle Aged
pseudoangiosarcomatous carcinoma
skin
Skin Neoplasms - pathology
Skin Neoplasms - ultrastructure
Tumors of the skin and soft tissue. Premalignant lesions
ultrastructure
title Pseudoangiosarcomatous carcinoma: a clinicopathological study of seven cases
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