Modern Pathology

FIGURES AND TABLES

FROM:

Extranodal Follicular Dendritic Cell Sarcoma of the Head and Neck Region: Three New Cases, with a Review of the Literature

David A Biddle, Jae Y Ro, Gil S Yoon, Yap-Whang H Yong, Alberto G Ayala and Nelson G Ordonez

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FIGURE 1 - Unfortunately we are unable to provide accessible alternative text for this. If you require assistance to access this image, please contact help@nature.com or the author

FIGURE 1.

Case 1. Extranodal follicular dendritic cell sarcoma located beneath the stratified epithelium of the tonsil. The tumor is well circumscribed with pushing borders. Note the characteristic sprinkling of small lymphocytes throughout the tumor (hematoxylin and eosin stain, original magnification, 40 times).

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FIGURE 2.

Case 2. Focally, the tumor forms vague circular whorls in a storiform growth pattern. Small lymphocytes and plasma cells are intermingled with syncytial-appearing neoplastic cells with smooth nuclear membranes (hematoxylin and eosin stain, original magnification, 100 times).

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FIGURE 3.

Case 2. The tumor cell borders are indistinct, and the nuclei contain coarsely speckled chromatin with distinct nucleoli. Note the scattered multinucleate giant cells (up arrow) (hematoxylin and eosin stain, original magnification, 200 times).

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FIGURE 4.

Case 1. Focally multinucleated cells and mitotic figures (up arrow) are found within the tumor (hematoxylin and eosin stain; original magnification, 600 times).

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FIGURE 5.

Case 1. There is a background of small mature lymphocytes scattered throughout the tumor, as well as cuffing around a vessel (hematoxylin and eosin stain; original magnification, 100 times).

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FIGURE 6.

Case 3. Tumor cells show nuclear pleomorphism (hematoxylin and eosin stain; original magnification, 400 times).

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FIGURE 7.

Immunostains for CD21 and CD35, both for Case 1. (A) Immunostain for CD21 stains the tumor cells on the left strongly and diffusely (paraffin immunohistochemical stain; original magnification, 40 times). (B) Immunostain for CD35 highlights complex branching networks of neoplastic follicular dendritic cells (paraffin immunohistochemical stain; original magnification, 400 times).

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