Additional Information
Book Details
Abstract
Part of the in-depth and practical Pattern Recognition series, Practical Surgical Soft Tissue Pathology, 2nd Edition, helps you arrive at an accurate diagnosis by using a proven pattern-based approach. Leading diagnosticians guide you through the most common patterns seen in soft tissue pathology, applying appropriate immunohistochemistry and molecular testing, avoiding pitfalls, and making the best diagnosis. High-quality illustrations capture key morphologic patterns for a full range of common and rare tumor types, and a "visual index" at the beginning of the book directs you to the exact location of in-depth diagnostic guidance.
- A consistent chapter organization by histologic pattern considers soft tissue tumors the way you approach them in daily practice, helping you arrive at a quick and accurate diagnosis.
- A user-friendly design color-codes patterns to specific entities, and key points are summarized in tables and text boxes, so you can quickly and easily find what you are looking for.
- Sweeping content updates keep you at the forefront of recent findings regarding all major neoplastic and non-neoplastic diseases of the soft tissues.
- Improved pattern call-outs are now linked directly within the chapter, reinforcing the patterns for more efficient and complete understanding.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | cover | ||
Inside Front Cover | ifc1 | ||
Half title page | i | ||
Front Matter | iii | ||
Practical Soft Tissue Pathology A Diagnostic Approach | iii | ||
Copyright Page | iv | ||
Dedication | v | ||
Contributors | vii | ||
Series Preface | ix | ||
Preface to the First Edition | x | ||
Preface | xi | ||
Acknowledgment | xiii | ||
Table Of Contents | xv | ||
Pattern-Based Approach to Diagnosis | xvii | ||
Pattern 1 Spindle Cell | xviii | ||
Pattern 2 Epithelioid | xxiii | ||
Pattern 3 Pleomorphic | xxvi | ||
Pattern 4 Round Cell | xxviii | ||
Pattern 5 Biphasic or Mixed | xxx | ||
Pattern 6 Myxoid | xxxii | ||
1 Introduction: Tumor Classification and Immunohistochemistry | 1 | ||
Tumor Classification | 1 | ||
Immunohistochemistry | 1 | ||
Intermediate Filament Proteins | 2 | ||
Other Myogenic Markers | 3 | ||
Endothelial Markers | 3 | ||
Schwannian Markers | 4 | ||
Other Diagnostic Markers | 4 | ||
Protein Correlates of Genetic Alterations | 4 | ||
Novel Markers Discovered by Gene Expression Profiling | 5 | ||
References | 6 | ||
2 Biologic Potential, Grading, Staging, and Reporting of Sarcomas | 9 | ||
Biologic Potential | 9 | ||
Sarcoma Grading | 9 | ||
Sarcoma Staging | 12 | ||
Surgical Margins | 13 | ||
References | 14 | ||
3 Spindle Cell Tumors of Adults | 15 | ||
General Concepts | 16 | ||
Approach to the Diagnosis of Spindle Cell Tumors of Soft Tissue | 16 | ||
Frequency | 17 | ||
Clinical Context | 17 | ||
Histologic Parameters | 17 | ||
Ancillary Techniques | 18 | ||
Nonmesenchymal Neoplasms With Spindle Cell Cytomorphology | 18 | ||
Spindle Cell Carcinoma | 18 | ||
Spindle Cell Melanoma and Variants | 18 | ||
Malignant Mesothelioma | 19 | ||
Nodular Fasciitis and Similar Pseudosarcomatous Myofibroblastic Lesions | 20 | ||
Nodular Fasciitis | 20 | ||
Clinical Features | 20 | ||
Pathologic Features | 20 | ||
Immunohistochemistry | 25 | ||
Molecular Genetics | 25 | ||
Differential Diagnosis | 25 | ||
Prognosis and Treatment | 25 | ||
Pseudosarcomatous Myofibroblastic Proliferation | 25 | ||
Clinical Features | 26 | ||
Pathologic Features | 26 | ||
Immunohistochemistry | 26 | ||
Molecular Genetics | 26 | ||
Differential Diagnosis | 26 | ||
Prognosis and Treatment | 27 | ||
Mycobacterial Spindle Cell Pseudotumor | 27 | ||
Myofibroma and Myopericytoma | 27 | ||
Clinical Features | 27 | ||
Pathologic Features | 27 | ||
Immunohistochemistry | 29 | ||
Molecular Genetics | 29 | ||
Differential Diagnosis | 29 | ||
Prognosis and Treatment | 29 | ||
Phosphaturic Mesenchymal Tumor | 30 | ||
Clinical Features | 30 | ||
Pathologic Features | 30 | ||
Immunohistochemistry | 30 | ||
Molecular Genetics | 30 | ||
Differential Diagnosis | 31 | ||
Prognosis and Treatment | 31 | ||
Myofibroblastoma and Variants | 31 | ||
Mammary-Type Myofibroblastoma | 31 | ||
Intranodal Palisaded Myofibroblastoma | 32 | ||
Fibroma | 33 | ||
Fibroma of Tendon Sheath | 33 | ||
Clinical Features | 33 | ||
Pathologic Features | 33 | ||
Immunohistochemistry | 33 | ||
Molecular Genetics | 33 | ||
Differential Diagnosis | 33 | ||
Prognosis and Treatment | 34 | ||
Desmoplastic Fibroblastoma (Collagenous Fibroma) | 34 | ||
Clinical Features | 34 | ||
Pathologic Features | 34 | ||
Immunohistochemistry | 34 | ||
Molecular Genetics | 34 | ||
Differential Diagnosis | 34 | ||
Prognosis and Treatment | 35 | ||
Nuchal-Type Fibroma | 35 | ||
Clinical Features | 35 | ||
Pathologic Features | 35 | ||
Immunohistochemistry | 36 | ||
Differential Diagnosis | 36 | ||
Prognosis and Treatment | 36 | ||
Elastofibroma | 36 | ||
Clinical Features | 36 | ||
Pathologic Features | 36 | ||
Immunohistochemistry | 37 | ||
Differential Diagnosis | 37 | ||
Prognosis and Treatment | 37 | ||
Calcifying Fibrous Tumor | 37 | ||
Angiofibroma of Soft Tissue | 37 | ||
Clinical Features | 37 | ||
Pathologic Features | 37 | ||
Immunohistochemistry | 38 | ||
Molecular Genetics | 38 | ||
Differential Diagnosis | 38 | ||
4 Pediatric Spindle Cell Tumors | 101 | ||
Fibroblastic-Myofibroblastic Tumors | 101 | ||
Benign Tumors That Mimic Sarcomas | 102 | ||
Nodular Fasciitis | 102 | ||
Clinical Features | 102 | ||
Pathologic Features | 102 | ||
Immunohistochemistry | 102 | ||
Molecular Genetics | 103 | ||
Differential Diagnosis | 103 | ||
Prognosis and Treatment | 103 | ||
Cranial Fasciitis | 103 | ||
5 Tumors With Myxoid Stroma | 135 | ||
Ganglion Cyst | 135 | ||
Clinical Features | 135 | ||
Pathologic Features | 136 | ||
Differential Diagnosis | 136 | ||
Prognosis and Treatment | 137 | ||
Intramuscular/Cellular Myxoma | 137 | ||
Clinical Features | 137 | ||
Pathologic Features | 137 | ||
Immunohistochemistry | 137 | ||
Molecular Genetics | 137 | ||
Differential Diagnosis | 137 | ||
Prognosis and Treatment | 138 | ||
Juxtaarticular Myxoma | 138 | ||
Clinical Features | 138 | ||
Pathologic Features | 138 | ||
Immunohistochemistry | 138 | ||
Molecular Genetics | 138 | ||
Differential Diagnosis | 138 | ||
Prognosis and Treatment | 139 | ||
Dermal Nerve Sheath Myxoma | 139 | ||
Clinical Features | 139 | ||
Pathologic Features | 139 | ||
6 Epithelioid and Epithelial-Like Tumors | 165 | ||
Approach to the Diagnosis of Epithelioid Tumors of Soft Tissue | 165 | ||
Clinical Presentation | 165 | ||
Microscopic Examination | 167 | ||
Immunohistochemistry | 168 | ||
Cytogenetics | 168 | ||
Epithelioid Hemangioma | 168 | ||
Clinical Features | 168 | ||
Pathologic Features | 169 | ||
Immunohistochemistry | 170 | ||
Molecular Genetics | 170 | ||
Differential Diagnosis | 170 | ||
Prognosis and Treatment | 171 | ||
Glomus Tumor | 171 | ||
Clinical Features | 171 | ||
Pathologic Features | 171 | ||
Immunohistochemistry | 172 | ||
Molecular Genetics | 173 | ||
Differential Diagnosis | 173 | ||
Prognosis and Treatment | 173 | ||
Myoepithelioma/Mixed Tumor/Myoepithelial Carcinoma of Soft Tissue | 173 | ||
Clinical Features | 174 | ||
Pathologic Features | 174 | ||
Immunohistochemistry | 174 | ||
Molecular Genetics | 176 | ||
Differential Diagnosis | 176 | ||
Prognosis and Treatment | 177 | ||
PEComa of Soft Tissue | 177 | ||
Clinical Features | 177 | ||
7 Pleomorphic Sarcomas | 209 | ||
Atypical Fibroxanthoma | 210 | ||
Clinical Features | 210 | ||
Pathologic Features | 210 | ||
Immunohistochemistry | 210 | ||
Molecular Genetics | 212 | ||
Differential Diagnosis | 212 | ||
Prognosis and Treatment | 212 | ||
Undifferentiated Pleomorphic Sarcoma | 212 | ||
Clinical Features | 213 | ||
Pathologic Features | 213 | ||
Immunohistochemistry | 213 | ||
Molecular Genetics | 214 | ||
Differential Diagnosis | 214 | ||
Prognosis and Treatment | 214 | ||
Pleomorphic Hyalinizing Angiectatic Tumor | 216 | ||
Clinical Features | 216 | ||
Pathologic Features | 216 | ||
Immunohistochemistry | 216 | ||
Molecular Genetics | 216 | ||
Differential Diagnosis | 217 | ||
Prognosis and Treatment | 217 | ||
Myxoinflammatory Fibroblastic Sarcoma | 217 | ||
8 Round Cell Tumors | 233 | ||
The Role of Immunohistochemistry and Molecular Genetics | 233 | ||
How Should Small Round Cell Sarcoma Samples Be Handled? | 234 | ||
Should Molecular Techniques to Detect Translocations Always Be Performed? | 234 | ||
Ewing Sarcoma | 235 | ||
Clinical Features | 236 | ||
Pathologic Features | 236 | ||
Immunohistochemistry | 237 | ||
Molecular Genetics | 238 | ||
Differential Diagnosis | 238 | ||
Prognosis and Treatment | 239 | ||
Alveolar Rhabdomyosarcoma | 239 | ||
Clinical Features | 239 | ||
Pathologic Features | 240 | ||
Immunohistochemistry | 240 | ||
Molecular Genetics | 241 | ||
Differential Diagnosis | 242 | ||
Prognosis and Treatment | 242 | ||
Embryonal Rhabdomyosarcoma | 242 | ||
Clinical Features | 242 | ||
Pathologic Features | 242 | ||
Immunohistochemistry | 243 | ||
Molecular Genetics | 243 | ||
Differential Diagnosis | 243 | ||
Prognosis and Treatment | 243 | ||
“Round Cell” Liposarcoma | 243 | ||
Desmoplastic Small Round Cell Tumor | 243 | ||
Clinical Features | 243 | ||
9 Biphasic Tumors and Tumors With Mixed Patterns | 249 | ||
Biphasic Synovial Sarcoma | 249 | ||
Clinical Features | 249 | ||
Pathologic Features | 249 | ||
Immunohistochemistry | 250 | ||
Molecular Genetics | 250 | ||
Differential Diagnosis | 251 | ||
Prognosis and Treatment | 252 | ||
Mixed Tumor/Myoepithelioma/ Myoepithelial Carcinoma | 252 | ||
Clinical Features | 252 | ||
Pathologic Features | 252 | ||
Immunohistochemistry | 252 | ||
Molecular Genetics | 252 | ||
Differential Diagnosis | 253 | ||
Prognosis and Treatment | 254 | ||
Malignant Peripheral Nerve Sheath Tumor With Divergent (Heterologous) Differentiation (Including Glandular Type) | 254 | ||
Clinical Features | 254 | ||
Pathologic Features | 254 | ||
Immunohistochemistry | 255 | ||
Molecular Genetics | 255 | ||
Differential Diagnosis | 255 | ||
Prognosis and Treatment | 256 | ||
Ectopic Hamartomatous Thymoma | 256 | ||
Clinical Features | 256 | ||
Pathologic Features | 256 | ||
Immunohistochemistry | 257 | ||
Differential Diagnosis | 257 | ||
Prognosis and Treatment | 257 | ||
Gastrointestinal Stromal Tumor, Mixed Type | 258 | ||
Clinical Features | 258 | ||
Pathologic Features | 258 | ||
Immunohistochemistry | 258 | ||
Molecular Genetics | 258 | ||
10 Soft Tissue Tumors With Prominent Inflammatory Cells | 269 | ||
Inflammatory Myofibroblastic Tumor | 269 | ||
Clinical Features | 269 | ||
Pathologic Features | 270 | ||
Immunohistochemistry | 270 | ||
Molecular Genetics | 270 | ||
Differential Diagnosis | 270 | ||
Prognosis and Treatment | 273 | ||
Inflammatory Leiomyosarcoma | 273 | ||
Histiocytic and Dendritic Cell Tumors | 273 | ||
Follicular Dendritic Cell Sarcoma | 274 | ||
Clinical Features | 274 | ||
Pathologic Features | 274 | ||
Immunohistochemistry | 275 | ||
Molecular Genetics | 275 | ||
Differential Diagnosis | 275 | ||
Prognosis and Treatment | 277 | ||
Fibroblastic Reticular Cell Sarcoma | 277 | ||
Interdigitating Dendritic Cell Sarcoma | 277 | ||
Clinical Features | 277 | ||
Pathologic Features | 277 | ||
Immunohistochemistry | 279 | ||
Differential Diagnosis | 280 | ||
Prognosis and Treatment | 280 | ||
Langerhans Cell Histiocytosis and Langerhans Cell Sarcoma | 280 | ||
Clinical Features | 280 | ||
Pathologic Features | 280 | ||
Immunohistochemistry | 280 | ||
Molecular Genetics | 281 | ||
Differential Diagnosis | 281 | ||
Prognosis and Treatment | 281 | ||
Indeterminate Cell Histiocytosis | 282 | ||
Extranodal Rosai-Dorfman Disease | 283 | ||
Histiocytic Sarcoma | 283 | ||
Clinical Features | 284 | ||
Pathologic Features | 284 | ||
Immunohistochemistry | 284 | ||
Molecular Genetics | 284 | ||
Differential Diagnosis | 284 | ||
Prognosis and Treatment | 285 | ||
Angiomatoid Fibrous Histiocytoma | 285 | ||
Clinical Features | 285 | ||
Pathologic Features | 285 | ||
Immunohistochemistry | 285 | ||
Molecular Genetics | 285 | ||
Differential Diagnosis | 285 | ||
Prognosis and Treatment | 286 | ||
Myxoinflammatory Fibroblastic Sarcoma | 286 | ||
Well-Differentiated Inflammatory Liposarcoma | 286 | ||
Inflammatory Malignant Fibrous Histiocytoma | 288 | ||
Mass-Forming Idiopathic Fibroinflammatory Disorders | 289 | ||
Sclerosing Mesenteritis | 289 | ||
Idiopathic Retroperitoneal Fibrosis | 289 | ||
Immunoglobulin G4–Related Disease | 290 | ||
References | 293 | ||
11 Giant Cell–Rich Tumors | 297 | ||
Tenosynovial Giant Cell Tumors | 298 | ||
Giant Cell Tumor of Tendon Sheath (Localized-Type Tenosynovial Giant Cell Tumor) | 298 | ||
Clinical Features | 298 | ||
Pathologic Features | 298 | ||
Immunohistochemistry | 298 | ||
Molecular Genetics | 299 | ||
Differential Diagnosis | 300 | ||
Prognosis and Treatment | 300 | ||
Diffuse-Type (Tenosynovial) Giant Cell Tumor | 301 | ||
Clinical Features | 301 | ||
Pathologic Features | 301 | ||
Immunohistochemistry | 302 | ||
12 Adipocytic Tumors | 311 | ||
Lipoma | 312 | ||
Clinical Features | 312 | ||
Pathologic Features | 312 | ||
Immunohistochemistry | 312 | ||
Molecular Genetics | 312 | ||
Differential Diagnosis | 312 | ||
Prognosis and Treatment | 313 | ||
Lipofibromatosis | 313 | ||
Clinical Features | 313 | ||
13 Vascular Tumors | 341 | ||
Immunohistochemistry | 341 | ||
Classification of Vascular Tumors | 342 | ||
Vasoformative Pattern | 344 | ||
Papillary Endothelial Hyperplasia (Masson Tumor) | 344 | ||
Clinical Features | 344 | ||
Pathologic Features | 344 | ||
Differential Diagnosis | 344 | ||
14 Cartilaginous and Osseous Soft Tissue Lesions | 391 | ||
Myositis Ossificans and Heterotopic Ossification | 391 | ||
Clinical Features | 391 | ||
15 Cutaneous Mesenchymal Tumors | 403 | ||
Spindle Cell Tumors | 405 | ||
Benign Fibrous Histiocytoma (Dermatofibroma) and Variants | 405 | ||
Clinical Features | 405 | ||
Pathologic Features | 407 | ||
Immunohistochemistry | 409 | ||
Differential Diagnosis | 409 | ||
Prognosis and Treatment | 410 | ||
Cellular Benign Fibrous Histiocytoma | 410 | ||
Aneurysmal Benign Fibrous Histiocytoma | 411 | ||
Atypical (Pseudosarcomatous) Fibrous Histiocytoma | 411 | ||
Dermatomyofibroma | 412 | ||
16 Mesenchymal Tumors of the Gastrointestinal Tract | 459 | ||
Gastrointestinal Stromal Tumor | 460 | ||
Clinical Features | 460 | ||
Pathologic Features | 461 | ||
Immunohistochemistry | 465 | ||
Molecular Genetics | 466 | ||
Differential Diagnosis | 468 | ||
Prognosis and Treatment | 469 | ||
Leiomyoma | 471 | ||
Clinical Features | 471 | ||
Pathologic Features | 472 | ||
Immunohistochemistry | 472 | ||
Molecular Genetics | 472 | ||
17 Lower Genital Soft Tissue Tumors | 499 | ||
General Approach to Soft Tissue Lesions of the Lower Genital Tract | 499 | ||
Deep (Aggressive) Angiomyxoma | 499 | ||
Clinical Features | 499 | ||
Pathologic Features | 499 | ||
Immunohistochemistry | 500 | ||
Molecular Genetics | 500 | ||
Differential Diagnosis | 500 | ||
Prognosis and Treatment | 500 | ||
Fibroepithelial Stromal Polyp | 501 | ||
Clinical Features | 501 | ||
Pathologic Features | 501 | ||
Immunohistochemistry | 501 | ||
Differential Diagnosis | 501 | ||
Prognosis and Treatment | 502 | ||
Angiomyofibroblastoma | 502 | ||
Clinical Features | 502 | ||
Pathologic Features | 502 | ||
Immunohistochemistry | 502 | ||
Molecular Genetics | 502 | ||
Differential Diagnosis | 503 | ||
Prognosis and Treatment | 504 | ||
Cellular Angiofibroma | 504 | ||
Clinical Features | 504 | ||
Pathologic Features | 504 | ||
Immunohistochemistry | 504 | ||
Molecular Genetics | 504 | ||
Differential Diagnosis | 504 | ||
18 Applications of Molecular Testing to Differential Diagnosis | 513 | ||
Keywords | 513 | ||
Genetic Classification of Sarcomas | 513 | ||
Approaches to Molecular Diagnostics | 514 | ||
The Paradigm of Ewing Sarcoma | 514 | ||
Techniques | 518 | ||
Chromosomal Karyotype | 518 | ||
Fluorescence In Situ Hybridization | 519 | ||
Reverse Transcription Polymerase Chain Reaction | 519 | ||
Next-Generation Sequencing Molecular Assays. | 523 | ||
Molecular Features of Particular Entities | 524 | ||
Soft Tissue Sarcomas With Complex Cytogenetic Features | 525 | ||
Soft Tissue Sarcomas With Simple Cytogenetic Features | 525 | ||
Alveolar Soft Part Sarcoma | 525 | ||
Angiomatoid Fibrous Histiocytoma | 526 | ||
Angiosarcoma | 526 | ||
Benign Fibrous Histiocytoma (Dermatofibroma) | 526 | ||
Biphenotypic Sinonasal Sarcoma | 526 | ||
Clear Cell Sarcoma | 526 | ||
Dermatofibrosarcoma Protuberans | 529 | ||
Desmoid-Type Fibromatosis | 530 | ||
Desmoplastic Small Round Cell Tumor | 531 | ||
Endometrial Stromal Sarcoma | 533 | ||
Epithelioid Hemangioendothelioma | 533 | ||
Ewing Sarcoma | 533 | ||
Ewing-Like Tumors With Alternative Fusion Transcripts | 533 | ||
Extraskeletal Myxoid Chondrosarcoma | 533 | ||
Glomus Tumors | 534 | ||
Gastrointestinal Stromal Tumor | 534 | ||
Infantile Fibrosarcoma | 535 | ||
Inflammatory Myofibroblastic Tumor | 536 | ||
Leiomyoma | 536 | ||
Lipoma Variants (Benign Adipocytic Tumors) | 539 | ||
Conventional Lipoma. | 539 | ||
Other Lipoma Variants. | 539 | ||
Liposarcoma | 540 | ||
Myxoid Liposarcoma. | 540 | ||
Well-Differentiated and Dedifferentiated Liposarcoma. | 540 | ||
Lipofibromatosis-Like Neural Tumors | 540 | ||
Low-Grade Fibromyxoid Sarcoma | 540 | ||
Mesenchymal Chondrosarcoma | 541 | ||
Myoepithelial Tumors of Soft Tissue | 541 | ||
Myxoinflammatory Fibroblastic Sarcoma and Hemosiderotic Fibrolipomatous Tumor | 542 | ||
Myxomas | 542 | ||
Neurofibroma | 542 | ||
Nodular Fasciitis | 542 | ||
Ossifying Fibromyxoid Tumor | 543 | ||
Pericytoma With t(7;12) | 543 | ||
Pseudomyogenic Hemangioendothelioma | 543 | ||
Rhabdomyosarcoma | 543 | ||
Sclerosing Epithelioid Fibrosarcoma | 544 | ||
Schwannoma | 544 | ||
Synovial Sarcoma | 544 | ||
Solitary Fibrous Tumor | 544 | ||
Tenosynovial Giant Cell Tumor | 544 | ||
Practical Applications of Molecular Diagnostic Testing | 545 | ||
Desmoplastic Small Round Cell Tumor Versus Ewing Sarcoma | 545 | ||
Clear Cell Sarcoma Versus Metastatic Melanoma | 545 | ||
Well-Differentiated Liposarcoma With Myxoid Stroma Versus Myxoid Liposarcoma | 546 | ||
Solid Alveolar Rhabdomyosarcoma Versus Embryonal Rhabdomyosarcoma | 547 | ||
Extraskeletal Myxoid Chondrosarcoma Versus Soft Tissue Myoepithelioma/Myoepithelial Carcinoma | 547 | ||
Small Cell (Poorly Differentiated) Synovial Sarcoma Versus Ewing Sarcoma | 548 | ||
Gastrointestinal Stromal Tumor With Unusual Features | 548 | ||
Significance of Detecting an EWSR1 Gene Rearrangement by Fluorescence In Situ Hybridization | 549 | ||
Conclusions | 549 | ||
References | 551 | ||
Index | 557 | ||
A | 557 | ||
B | 559 | ||
C | 559 | ||
D | 561 | ||
E | 563 | ||
F | 564 | ||
G | 566 | ||
H | 568 | ||
I | 569 | ||
J | 570 | ||
K | 570 | ||
L | 570 | ||
M | 572 | ||
N | 575 | ||
O | 576 | ||
P | 576 | ||
R | 578 | ||
S | 579 | ||
T | 583 | ||
U | 583 | ||
V | 583 | ||
W | 584 | ||
X | 584 | ||
Inside Back Cover | ibc1 |