Sarcoma, myofibroblastic C49.M

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

low-grade; myofibroblastic sarcoma

Definition
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Low malignant sarcoma of the deep connective tissue and the subcutis.

Localization
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Preferably located at the extremities.

Clinical features
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Differently sized subcutaneously localized painless tumor masses.

Histology
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  • Solid tumour whose spindly or star-shaped cells are arranged fascicularly or even storiformly. Pale eosinophilic cytoplasm. Oval nuclei with finely distributed chromatin. Multinucleated giant cells are often detectable, also focal mucinous degeneration.
  • Immunohistology: HHF35 pos., alpha-SMA pos., desmin pos./neg., CD34 pos./neg., collagen type IV is focally detectable.

Therapy
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Excision with sufficient safety distance ( Mohs technique).

Note(s)
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Some authors question the autonomy of the clinical picture. A fibroblastic/myofibroblastic differentiation can be found in various cutaneous sarcomas. A close histogenetic relationship between fibrosarcoma, malignant fibrous histiocytoma and myofibroblastic sarcoma is assumed.

Literature
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  1. Chang SE et al (2001) A case of cutaneous low-grade myofibroblastic sarcoma. J Dermatol 28: 383-387
  2. Diaz-Cascajo C et al (2003) Fibroblastic/myofibroblastic sarcoma of the skin: a report of five cases. J Cutan Pathol 30: 128-134

Incoming links (2)

Desmin; Myofibroblastic sarcoma;

Outgoing links (1)

Mohs technique;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020