Reticular angiomatoid “malignant” fibrous histiocytoma—a case report with cytogenetics and molecular genetic analyses

Summary Angiomatoid “malignant” fibrous histiocytoma is a rare sarcoma of low malignant potential that occurs most commonly in the extremities of children and young adults. Herein, we present a case of angiomatoid malignant fibrous histiocytoma with unusual histologic features arising in the mediast...

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Veröffentlicht in:Human pathology 2011-09, Vol.42 (9), p.1359-1363
Hauptverfasser: Moura, Rafael D., MD, Wang, Xiaoke, MS, Lonzo, Melissa L., MS, Erickson-Johnson, Michele R., MS, García, Joaquín J., MD, Oliveira, Andre M., MD
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container_end_page 1363
container_issue 9
container_start_page 1359
container_title Human pathology
container_volume 42
creator Moura, Rafael D., MD
Wang, Xiaoke, MS
Lonzo, Melissa L., MS
Erickson-Johnson, Michele R., MS
García, Joaquín J., MD
Oliveira, Andre M., MD
description Summary Angiomatoid “malignant” fibrous histiocytoma is a rare sarcoma of low malignant potential that occurs most commonly in the extremities of children and young adults. Herein, we present a case of angiomatoid malignant fibrous histiocytoma with unusual histologic features arising in the mediastinum of an 80-year-old man. The tumor exhibited a reticular growth pattern and myxoid stroma. The tumor cells expressed epithelial membrane antigen and desmin. Cytogenetic analysis revealed the translocation t(2;22)(q33;q12). Molecular genetic analysis confirmed the rearrangement of the EWSR1 locus and the presence of the EWSR1/CREB1 fusion. This report expands the clinicopathologic spectrum of angiomatoid malignant fibrous histiocytoma and underscores the value of integrating morphologic, immunophenotypic, and molecular findings in the identification of its unusual morphologic variants.
doi_str_mv 10.1016/j.humpath.2010.12.003
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subjects Aged, 80 and over
Angiomatoid “malignant” fibrous histiocytoma
Biological and medical sciences
Calmodulin-Binding Proteins - genetics
Chromosomes, Human, Pair 2 - genetics
Chromosomes, Human, Pair 22 - genetics
CREB1
Cyclic AMP Response Element-Binding Protein - genetics
Cytogenetic Analysis
EWSR1
Histiocytoma, Malignant Fibrous - genetics
Histiocytoma, Malignant Fibrous - pathology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Mediastinal Neoplasms - genetics
Mediastinal Neoplasms - pathology
Mediastinum
Medical sciences
Oncogene Proteins, Fusion - genetics
Pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
RNA-Binding Protein EWS
RNA-Binding Proteins - genetics
Translocation, Genetic
title Reticular angiomatoid “malignant” fibrous histiocytoma—a case report with cytogenetics and molecular genetic analyses
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