Title: Follicular Dendritic Cell Sarcoma in Colon: A Rare Case Report

Authors: Vishal Dhingra, Shabi Ahmed, Yamini Jindal, PA Singh, Prachi Nayak, Priya Singh,  Vatsala Misra

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i4.50

Abstract

Follicular dendritic cells are localized in germinal centers of lymphoid follicles and play an integral role in regulation of the germinal center reaction and present antigens to B cells. A 22 year male patient presented with a well-defined mass around splenic flexure. On resection cut surface was smooth, fleshy and tan. On microscopy large pleomorphic cells with vesicular nuclei and prominent nucleoli intermingled with mature lymphocytes were present. Three mitotic figures /10HPF were noted. IHC was positive for Vimentin, CD21, CD23. Based on histological appearance and immunoprofile of the tumor, the diagnosis of Follicular dendritic cell sarcoma was made.

Key words: FDCS, IHC, CD21, CD23.

References

 1.      Sharpe M, Easthope SE, Keating GM, Lamb HM. Polyethylene glycol-liposomal doxorubicin: a review of its use in the management of solid and hematological malignancies and AIDS-related Kaposi’s sarcoma. Drugs 62; 14: 2089–126.

2.      Monda L, Warnke R, Rosai J. A primary lymph node malignancy with features suggestive of dendritic reticulum cell differentiation. A report of 4 cases. Am J Pathol 1986: 122; 562-72.

3.      Shien TP, Chih YC, Nie SL, Peir IL, and Shih SC. Follicular Dendritic Cell Sarcoma of the Inflammatory Pseudotumor-like Variant Presenting as a Colonic Polyp. Korean J Pathol 2014; 48(2): 140–145.

4.      Chan JK, Pileri SA, Delsol G, et al. Follicular dendritic cell sarcoma. In: Swerdlow SH, Campo E, Harris NL, et al., editors. WHO classification of tumours of haemtopoietic and lymphoid tissues. Lyon: IARC Press 2008; 363–364

5.      Perez-Ordonez B, Rosai J: Follicular dendritic cell tumor: Review of entity. Semin Diagn Pathol 1998; 15:144-154.

6.      Chang KC, Jin YT, Chen FF, et al. Follicular dendritic cell sarcoma of the colon mimicking stromal tumour. Histopathology 2001; 38(1): 25-9.

7.      Peng WJ, Yao LQ: Small mesenteric follicular dendritic cell sarcoma: one case report and literature review. Chin J Misdiagn 2008; 8 (13): 3040-42.

8.      Jaffe ES, Harris NL, Stein H, Vardiman JW, editors. World Health Organization classification of tumors. Pathology and genetics of tumors of hematopoietic and lymphoid tissues. Lyon: IARC Press; 2001

9.      Malik A, Veniyoor A, Fanthome B, Dutta V. Follicular dendritic cell sarcoma: a diagnostic challenge. J Cancer Res Ther 2012; 8(2): 306-7.

10.  Ono Y, Terashima K, Liu A, Yokoyama M, Yokoshima K, Mizukami M, Watanabe K, Mochimaru Y et al. Follicular dendritic cell sarcoma with microtubuloreticular structure and virus-like particle productionin vitro. Pathology International 2009; 59 (5): 332–44. 

11.  Grogg KL, Macon WR, Kurtin PJ, Nascimento AG. A survey of clusterin and fascin expression in sarcomas and spindle cell neoplasms: strong clusterin immunostaining is highly specific for follicular dendritic cell tumor. Modern Pathology 2004; 18 (2): 260–6.

Corresponding Author

Yamini Jindal

Dept of Pathology, Moti lal Nehru Medical College

Allahabad, Uttar Pradesh, 211001, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone No.- 91-7376923160