PMID- 25993973 OWN - NLM STAT- MEDLINE DCOM- 20160408 LR - 20150716 IS - 1097-0339 (Electronic) IS - 1097-0339 (Linking) VI - 43 IP - 8 DP - 2015 Aug TI - Fine needle aspiration cytology of histiocytic sarcoma with dendritic cell differentiation: a case of transdifferentiation from low-grade follicular lymphoma. PG - 659-63 LID - 10.1002/dc.23285 [doi] AB - Histiocytic sarcoma (HS) is a rare malignant tumor, and in extraordinary circumstances it can be transdifferentiated from a low-grade B-cell lymphoma. In our report, a 62-year-old female was initially diagnosed with a low-grade follicular lymphoma, and 2 years later she presented with bilateral lung masses and lymphadenopathy. Fine needle aspiration (FNA) of the lung masses revealed solid nests of large pleomorphic epithelioid cells. By immunohistochemical studies, the tumor cells were positive for histiocytic markers (CD68 and CD163) and S100, supporting a diagnosis of HS with dendritic cell differentiation. Further fluorescence in situ hybridization (FISH) analyses detected IGH@/BCL2 rearrangement in both the previous follicular lymphoma and the current HS, which was highly suggestive of the clonal relationship between these two tumors. To the best of our knowledge, this is the first case of transformation of follicular lymphoma into HS diagnosed by FNA of lung masses. CI - (c) 2015 Wiley Periodicals, Inc. FAU - Mehrotra, Sanjana AU - Mehrotra S AD - Department of Pathology, University of Colorado School of Medicine, Aurora, Colorado. FAU - Pan, Zenggang AU - Pan Z AD - Department of Pathology, University of Colorado School of Medicine, Aurora, Colorado. LA - eng PT - Case Reports PT - Journal Article DEP - 20150521 PL - United States TA - Diagn Cytopathol JT - Diagnostic cytopathology JID - 8506895 RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation, Myelomonocytic) RN - 0 (Biomarkers, Tumor) RN - 0 (CD163 antigen) RN - 0 (CD68 antigen, human) RN - 0 (Receptors, Cell Surface) RN - 0 (S100 Proteins) SB - IM MH - Antigens, CD/metabolism MH - Antigens, Differentiation, Myelomonocytic/metabolism MH - B-Lymphocytes/metabolism/pathology MH - Biomarkers, Tumor/*metabolism MH - Biopsy, Fine-Needle MH - *Cell Transdifferentiation MH - Female MH - Histiocytic Sarcoma/*diagnosis/metabolism/pathology MH - Histocytochemistry MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lung/metabolism/pathology MH - Lymph Nodes/metabolism/pathology MH - Lymphoma, Follicular/*diagnosis/metabolism/pathology MH - Middle Aged MH - Receptors, Cell Surface/metabolism MH - S100 Proteins/metabolism OTO - NOTNLM OT - follicular lymphoma OT - histiocytic sarcoma OT - transdifferentiation EDAT- 2015/05/23 06:00 MHDA- 2016/04/09 06:00 CRDT- 2015/05/22 06:00 PHST- 2014/12/11 00:00 [received] PHST- 2015/03/19 00:00 [revised] PHST- 2015/03/30 00:00 [accepted] PHST- 2015/05/22 06:00 [entrez] PHST- 2015/05/23 06:00 [pubmed] PHST- 2016/04/09 06:00 [medline] AID - 10.1002/dc.23285 [doi] PST - ppublish SO - Diagn Cytopathol. 2015 Aug;43(8):659-63. doi: 10.1002/dc.23285. Epub 2015 May 21.