Dermatofibrosarcoma Protuberans with EMA + Cells. Report of a Case Suggesting Perineurial Cell Differentiation

A case of dermatofibrosarcoma protuberans (DFSP) with epithelial membrane antigen (EMA)-positive cells is described. The tumor was excised from the left groin of a 28-year-old woman. It showed characteristic histologic features of DFSP with typical diffuse immunohistochemical positivity for CD34. Mo...

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Bibliographic Details
Published in:Pathology, research and practice research and practice, 2002, Vol.198 (11), p.767-774
Main Authors: Zamecnik, Michal, Michal, Michal, Baumruk, Ludek, Mukensnabl, Petr
Format: Article
Language:English
Subjects:
Adult
Cell Differentiation
Dermatofibrosarcoma - metabolism
Dermatofibrosarcoma - pathology
Dermatofibrosarcoma - ultrastructure
Dermatofibrosarcoma protuberans
Epithelial membrane antigen (EMA)
Female
Groin - pathology
Humans
Immunohistochemistry
Microscopy, Electron
Mucin-1 - metabolism
Perineurial cell differentiation
Perineurioma
Peripheral Nerves - pathology
Skin Neoplasms - metabolism
Skin Neoplasms - pathology
Skin Neoplasms - ultrastructure
Soft tissue
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Summary:A case of dermatofibrosarcoma protuberans (DFSP) with epithelial membrane antigen (EMA)-positive cells is described. The tumor was excised from the left groin of a 28-year-old woman. It showed characteristic histologic features of DFSP with typical diffuse immunohistochemical positivity for CD34. Moreover, scattered neoplastic cells expressed EMA, suggesting perineural cell differentiation. Ultrastructural study found perineurial cell features, such as thin long bipolar cytoplasmic processes, pinocytotic vesicles, fragments of external lamina and/or external lamina-like material, attachment plaques, and desmosome-like junctions. This observation, together with previous immunohistochemical findings of EMA-positive cells in a subset of DFSPs [50 ], strongly suggests perineurial cell differentiation in these tumors. DFSPshould be included in the differential diagnosis of EMA-positive spindle cell lesions of superficial soft tissue and skin.
ISSN:0344-0338
1618-0631
DOI:10.1078/0344-0338-00334