Malignant giant cell tumor of synovium and locally destructive pigmented villonodular synovitis: Ultrastructural and immunohistochemical study and review of the literature

The first reported case of an intraarticular malignant giant cell tumor of synovium studied with electron microscopic and immunohistochemical examination is presented, together with a case of diffuse intraarticular pigmented villonodular synovitis with extensive bone destruction. The malignant case...

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Veröffentlicht in:Human pathology 1989-08, Vol.20 (8), p.765-771
Hauptverfasser: Nielsen, Anette Lynge, Kiær, Thomas
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Kiær, Thomas
description The first reported case of an intraarticular malignant giant cell tumor of synovium studied with electron microscopic and immunohistochemical examination is presented, together with a case of diffuse intraarticular pigmented villonodular synovitis with extensive bone destruction. The malignant case was dominated by uniform cells positive for histiocytic markers, the fine structure showing a gradual change from cells dominated by organelles serving a secretory function to cells with phagocytic activity. The reported cases of giant cell tumor of the tendon sheath indicate that the pertinent histologic changes regarding malignancy are an increase in cell polymorphism and in the number of mitoses, and a decrease in the number of multinucleated giant cells.
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subjects Aged
Biological and medical sciences
Diseases of the osteoarticular system
Female
Humans
Immunohistochemistry
Joint Diseases - complications
Joint Diseases - pathology
Male
malignant germ cell tumor of synovium
Medical sciences
Microscopy, Electron
pigmented villonodular synovitis
sarcoma joint
Sarcoma, Synovial - analysis
Sarcoma, Synovial - complications
Sarcoma, Synovial - ultrastructure
Synovial Membrane - ultrastructure
synovial neoplasm
Synovitis - pathology
Synovitis, Pigmented Villonodular - complications
Synovitis, Pigmented Villonodular - pathology
Tumors of striated muscle and skeleton
title Malignant giant cell tumor of synovium and locally destructive pigmented villonodular synovitis: Ultrastructural and immunohistochemical study and review of the literature
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