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Journal of Korean Medical Science ; : 619-623, 2004.
Artigo em Inglês | WPRIM | ID: wpr-109214

RESUMO

"Hyalinizing spindle cell tumor with giant rosettes" (HSCTGR) is a recently described tumor, which is regarded as an unusual variant of low-grade fibromyxoid sarcoma. Proof of a metastatic potential was lacking. The patient in the report was a 35-yr-old woman who showed multiple bilateral pulmonary nodules with massive pleural effusion in the right side. She had a history of a mass excision in the right thigh 11 yrs ago at another hospital, which was reported as a "leiomyoma". Two years before this presentation, the patient received a routine chest radiograph which demonstrated bilateral multiple pulmonary nodules. A lobectomy of the left upper lung was performed. The histological findings revealed a well-circumscribed nodule that was characterized by a spindle-shaped fibrous to hyalinized stroma with criss-crossing short fascicles and giant collagen rosettes surrounded by a rim of spindle-shaped cells. Electron microscopy confirmed the fibroblastic nature of the tumor. This case, in addition to at least two other cases reported in the literature, demonstrates that the HSCTGR is a malignant neoplasm with the capacity to metastasize after a long hiatus.


Assuntos
Adulto , Feminino , Humanos , Hialina/metabolismo , Coreia (Geográfico) , Neoplasias Pulmonares/diagnóstico , Metástase Neoplásica , Derrame Pleural/patologia , Sarcoma/diagnóstico , Coxa da Perna/patologia , Fatores de Tempo
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