Sandbox:Sara: Difference between revisions

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(Replaced content with "__NOTOC__ {{CMG}}; {{AE}} {{S.M.}}")
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{{CMG}}; {{AE}} {{S.M.}}
{{CMG}}; {{AE}} {{S.M.}}
[[Microscopic]] [[Features (pattern recognition)|features]] include:
* Non-circumscribed
* Highly cellular with cells having following characteristics:
** Monomorphic
** Thin
** Spindly
** Scant eosinophilic cytoplasm
** Hyperchromatic nuclei (resembling neurofibroma)
* Tight storiform pattern (cells radiating in spokes at right angles around a central point that often contains a vessel) infiltrating deeply into subcutaneous tissue and entraping fat cells to form a characteristic honeycomb pattern
* Areas of fascicular growth (seen in some cases)
* The early plaque stage may lack the particular storiform pattern
* Many non-atypical mitotic figures may be present
* Non-polarized, thin collagen
* Mild pleomorphism (not significant)
* Focal atypia
* May coexist with giant cell fibroblastoma
* Absent or rare histiocytes
* Following cell types are absent:
** Histiocyte-like cells
** Foam cells
** Giant cells
** Other inflammatory cells
* Different '''variants''' include:
** Atrophic (depressed lesion)
** Collagenous (with central thick collagen bundles)
** Granular cell (S100 negative)
** Myxoid
** Palisading
** Pigmented
** Sclerosing

Revision as of 22:53, 15 August 2019


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]

Microscopic features include:

  • Non-circumscribed
  • Highly cellular with cells having following characteristics:
    • Monomorphic
    • Thin
    • Spindly
    • Scant eosinophilic cytoplasm
    • Hyperchromatic nuclei (resembling neurofibroma)
  • Tight storiform pattern (cells radiating in spokes at right angles around a central point that often contains a vessel) infiltrating deeply into subcutaneous tissue and entraping fat cells to form a characteristic honeycomb pattern
  • Areas of fascicular growth (seen in some cases)
  • The early plaque stage may lack the particular storiform pattern
  • Many non-atypical mitotic figures may be present
  • Non-polarized, thin collagen
  • Mild pleomorphism (not significant)
  • Focal atypia
  • May coexist with giant cell fibroblastoma
  • Absent or rare histiocytes
  • Following cell types are absent:
    • Histiocyte-like cells
    • Foam cells
    • Giant cells
    • Other inflammatory cells
  • Different variants include:
    • Atrophic (depressed lesion)
    • Collagenous (with central thick collagen bundles)
    • Granular cell (S100 negative)
    • Myxoid
    • Palisading
    • Pigmented
    • Sclerosing