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International Journal of Surgical Pathology
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Article

Primary Follicular Dendritic Cell Sarcoma of the Thyroid Gland Coexisting With Hashimoto’s Thyroiditis

Lu Yu and Shou Jing Yang*

* To whom correspondence should be addressed. E-mail: yangsj{at}fmmu.edu.cn.


   Abstract
Follicular dendritic cell (FDC) sarcoma, especially of extranodal origin, is an extremely rare malignancy of FDC origin, with only 1 case previously documented in the thyroid. The authors report the case of a 58-year-old female who presented with a painless mass in her neck. The neoplastic cells expressed monocyte/macrophagespecific marker CD68 (KP-1) and lysozymes and the dendritic cell-associated antigens CD35 and Fascin but was negative for CD1a, CD21, and CD23, most consistent with a diagnosis of FDC sarcoma. BIOMED-2 multiplex polymerase chain reaction analysis showed B-cell clonality in both tumor and its adjacent coexisting Hashimoto’s thyroiditis. To the authors’ knowledge, this is the first report of a rare entity of FDC sarcoma primarily involving the thyroid gland coexisting with Hashimoto’s thyroiditis.

First published on May 15, 2009
International Journal of Surgical Pathology 2009, doi:10.1177/1066896909335507


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