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Pathology 26: 1248 - 1255
Robbins and Cotran
18
Pathology
Graduate
03/16/2011

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Cards

Term
Soft-Tissue Tumor Syndromes
Definition
Kaposi, neurofibromatosis I, neurofibroma, malignant peripheral nerve sheath tumor, gardner syndrome, Li-Fraumeni, Osler-Weber-Rendu
Term
Lipoma
Definition
common. (conventional:12q14-q15, 6p, 13q), (spindle cell/pleomorphic: 16q, 13q) Angiolipomas are painful.
Term
Liposarcoma
Definition
40-60s, deep tissues and retroperitoneum. (Well-differentiated, myxoid/round cell, and pleomorphic) 12q14-15 amplification of MDM2 which inhibits p53. Lipoblasts mimic fetal fat cells. Pleomorphic variant is worst.
Term
Reactive Pseudosarcomatous Proliferations
Definition
Nodular Fasciitis, Myositis Ossificans
Term
Nodular Faciitis
Definition
also infiltrative or pseudosacromatous faciitis. Volar aspect of the forearm. Immature fibroblasts
Term
Myositis Ossificans
Definition
Metaplastic bone in proximal extremity muscles often following trauma. Ill-defined trabeculae, peripherally well-formed. Patchy flocculent radiodensities. Zonation is vital: Intermediate with osteoblasts
Term
Superficial Fibromatoses
Definition
(Palmar is Dupuytren's contracture, Plantar, Penile is Peyronie disease)
Term
Dupuytren's contracture
Definition
puckering and dimpling. Slowly progressive flexion of the fourth and fifth fingers
Term
Desmoid Tumors
Definition
Also deep-seated fibromatosis. (Extra-abdominal in musculature, Abdominal after pregnancy, Intra-abdominal in mesentery with Gardner) Genes: APC or beta-catenin. Rubbery, tough, banal fibroblasts. Treatment with tamoxifen, chemotherapy, radiation.
Term
Fibrosarcoma
Definition
Unencapsulated, infiltrative, soft, fish-flesh with hemorrhage and necrosis.
Term
Rhabdomyosarcoma
Definition
before 20, head/neck/genitourinary tract. (Embryonal, Alveolar, Peomorphic) Botryiod has best prognosis, anaplastic embryonal/pleomorphic/alveolar are often fatal.
Term
Embryonal Rhabdomyosarcoma
Definition
Most common. (Sarcoma botryoides, spindle cells, anaplastic) <10yr. isodisomy of chromosome 11p15.5 with IFGII gene. Camdium later. Cross-striations.
Term
Cambium Layer
Definition
Submucosal zone of hypercellularity in Embryonal rhabdomyosarcoma
Term
Alveolar rhabdomyosarcoma
Definition
middle adolescence, deep extremity musculature. Centers of aggregates are dyscohesive. Fusion: FOXO1a on 13q14 with PAX3 on 2q35 or PAX7 on 1q36. PAX3 is worse
Term
Pleomorphic Rhabdomyosarcoma
Definition
large multinucleated bizarre eosinophilic cells. deep soft tissue of adults.
Term
Leiomyomas
Definition
Uterus or arrector pili muscles (pilar leiomyomas). Genes: fumarate hydratase on 1q42.3. Blunt ended, elongated nuclei
Term
Leiomyosarcoma
Definition
adult women in extremities and retroperitoneum. Bundles of thin filaments. Stain for actin and desmin
Term
Synovial Sarcoma
Definition
dual lines of differentiation (epithelial-like or mesenchymal-like). Keratin and epithelial membrane antigen. t(x;10)(p11;q11) producing SS10-SSX1/2/4
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