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Leiomyosarcoma showing partial synthetic-phase differentiation.

Eyden, Brian P
Banerjee, Saumitra S
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Abstract
An unusual leiomyosarcoma in the thigh of a 53-year-old woman is described. Tumor cells were spindled and positive for muscle immuno-markers. Some cells exhibited typical smooth-muscle ultrastructure--abundant myofilaments, focal densities, attachment plaques, plasmalemmal caveolae, and lamina. Others had fewer myofilaments and prominent rough endoplasmic reticulum. These features indicated a variable phenotype that included synthetic-phase (matrigenic) differentiation. Synthetic-phase cells were distinguished from myofibroblasts by typical smooth-muscle surface features in the absence of fibronexus junctions. In a subset of cells myofilaments were absent, but structures resembling solitary focal densities were identified. These are discussed as possible indicators of a primitive level of smooth-muscle differentiation.
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Date
2002
Publisher
Keywords
Second Primary Cancer
Soft Tissue Cancer
Biological Tumour Markers
Type
Article
Citation
Leiomyosarcoma showing partial synthetic-phase differentiation., 26 (5):335-40 Ultrastruct Pathol
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