PMID- 31782160 OWN - NLM STAT- MEDLINE DCOM- 20201008 LR - 20201008 IS - 1600-0560 (Electronic) IS - 0303-6987 (Linking) VI - 47 IP - 2 DP - 2020 Feb TI - Unusual subcutaneous dedifferentiated liposarcoma exhibiting coexistence of meningothelial-like whorls and inflammatory myofibroblastic tumor-like structures. PG - 171-178 LID - 10.1111/cup.13621 [doi] AB - To explore the clinicopathological features of a rare dedifferentiated liposarcoma (DDLPS) with meningothelial-like whorls, we retrospectively analyzed 46 reported cases and 1 case that we encountered. Fluorescence in situ hybridization (FISH) analysis of the MDM2 amplification status of our case was also performed. Our case involved a 73-year-old male patient who had a mass in the upper part of his left arm for 10 years and was treated by surgical ablation of the tumor because of the mass' recent rapid enlargement. Microscopically, the tumor tissues showed coexistence of well-differentiated and dedifferentiated components, the latter of which included meningothelial-like whorls and inflammatory myofibroblastic tumor-like structures. The dedifferentiated components diffusely expressed vimentin, MDM2, CDK4, p16, and smooth muscle actin. They were also focally positive for desmin but negative for S-100, CD117, CD34, ALK, EMA, SOX-10, p53, and beta-catenin. FISH detection showed MDM2 amplification. In conclusion, subcutaneous DDLPS with meningothelial-like whorls and inflammatory myofibroblastic tumor-like features is rare. This case broadens the histopathological lineage of DDLPS, and confirms DDLPS with myogenic differentiation. The use of the combination of MDM2, CDK4, p16, and FISH to detect MDM2 amplification is a reliable basis for the diagnosis of DDLPS with meningothelial-like whorls. CI - (c) 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Chen, Shuai AU - Chen S AUID- ORCID: 0000-0002-3199-4162 AD - Department of Pathology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China. FAU - He, Shujin AU - He S AD - Department of Pathology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China. AD - Clinical College, Jining Medical University, Jining, Shandong, People's Republic of China. FAU - Huang, Haining AU - Huang H AD - Department of Pharmacy, Affiliated Hospital of Jining Medical University, Jining, Shandong, People's Republic of China. FAU - Li, Lei AU - Li L AD - Department of Pathology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China. FAU - Wang, Wei AU - Wang W AD - Department of Pathology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China. FAU - Cui, Zhihong AU - Cui Z AD - Department of Pathology, The Second People's Hospital of Jining, Jining, Shandong, People's Republic of China. FAU - Zhang, Renya AU - Zhang R AD - Department of Pathology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China. LA - eng GR - MP-2018-006/Miao Pu Project Foundation of Affiliated Hospital of Jining Medical University/ GR - JYFC2018FKJ015/Supporting Fund for Teachers' Research of Jining Medical University/ PT - Case Reports DEP - 20191216 PL - United States TA - J Cutan Pathol JT - Journal of cutaneous pathology JID - 0425124 RN - 0 (Neoplasm Proteins) SB - IM MH - Aged MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - *Liposarcoma/metabolism/pathology MH - Male MH - *Myofibroblasts/metabolism/pathology MH - Neoplasm Proteins/*biosynthesis MH - *Skin Neoplasms/metabolism/pathology MH - Subcutaneous Tissue/metabolism/pathology OTO - NOTNLM OT - CDK4 OT - MDM2 OT - dedifferentiated liposarcoma OT - fluorescence in situ hybridization OT - meningothelial-like whorls EDAT- 2019/11/30 06:00 MHDA- 2020/10/09 06:00 CRDT- 2019/11/30 06:00 PHST- 2019/08/28 00:00 [received] PHST- 2019/11/09 00:00 [revised] PHST- 2019/11/26 00:00 [accepted] PHST- 2019/11/30 06:00 [pubmed] PHST- 2020/10/09 06:00 [medline] PHST- 2019/11/30 06:00 [entrez] AID - 10.1111/cup.13621 [doi] PST - ppublish SO - J Cutan Pathol. 2020 Feb;47(2):171-178. doi: 10.1111/cup.13621. Epub 2019 Dec 16.