PMID- 35779890 OWN - NLM STAT- MEDLINE DCOM- 20220707 LR - 20221005 IS - 1988-561X (Electronic) IS - 1699-8855 (Linking) VI - 55 IP - 3 DP - 2022 Jul-Sep TI - [Histological, immunohistochemical and molecular study of a paratesticular dedifferentiated liposarcoma with inflammatory myofibroblastic tumor-like features]. PG - 212-217 LID - S1699-8855(21)00068-4 [pii] LID - 10.1016/j.patol.2021.07.002 [doi] AB - We report the histological, immunohistochemical, and molecular findings of a dedifferentiated liposarcoma with inflammatory myofibroblastic tumor-like features occurring in the paratesticular region. Histologically, the dedifferentiated component closely resembled an inflammatory myofibroblastic tumor. The neoplastic cells were positive for smooth muscle actin with focal CD56, CD99, Bcl2 and EMA expression. WT1, calretinin, myogenin, CK(AE1/AE3), desmin, H-caldesmon, CD34, ALK, CKIT, DOG1, MUC4 and STAT6 were negative. MDM2 showed diffuse and strong nuclear positivity in neoplastic cells and fluorescence in situ hybridization (FISH) revealed amplified MDM2 (high level) but no SYT rearrangement. Although a lipomatous component was evident macroscopically, well-differentiated liposarcomatous components were not evident in the section examined. Dedifferentiated liposarcoma can have prominent inflammatory myofibroblastic tumor-like features. Pathologists should be aware of this histological variant in order to avoid misdiagnosing dedifferentiated liposarcoma as inflammatory myofibroblastic tumor or other spindle cell tumors which have different behavioral patterns and treatment requirements. CI - Copyright (c) 2021 Sociedad Espanola de Anatomia Patologica. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Machado, Isidro AU - Machado I AD - Departamento de Patologia, Instituto Valenciano de Oncologia, Valencia, Espana; Departamento de Patologia, Patologika Laboratorio, Hospital Quiron-Salud, Valencia, Espana. Electronic address: isidro.machado@uv.es. FAU - Marti Ibor, Encarnacion AU - Marti Ibor E AD - Departamento de Patologia, Patologika Laboratorio, Hospital Quiron-Salud, Valencia, Espana; Departamento de Patologia, Hospital Peset Alexandre, Valencia, Espana. FAU - Berbegall, Ana P AU - Berbegall AP AD - Departamento de Patologia, Patologika Laboratorio, Hospital Quiron-Salud, Valencia, Espana. FAU - Alcacer Fernandez-Coronado, Javier AU - Alcacer Fernandez-Coronado J AD - Departamento de Patologia, Patologika Laboratorio, Hospital Quiron-Salud, Valencia, Espana. FAU - Claramunt, Reyes AU - Claramunt R AD - Departamento de Biologia Molecular, Instituto Valenciano de Oncologia, Valencia, Espana. FAU - Duarte Novo, Jose Enrique AU - Duarte Novo JE AD - Servicio de Urologia, Hospital San Rafael, A Coruna, Espana. FAU - Mosquera Reboredo, Juan AU - Mosquera Reboredo J AD - Departamento de Patologia, Hospital San Rafael, A Coruna, Espana. FAU - Concha Lopez, Angel AU - Concha Lopez A AD - Departamento de Patologia, Hospital San Rafael, A Coruna, Espana. FAU - Alcacer Garcia, Javier AU - Alcacer Garcia J AD - Departamento de Patologia, Patologika Laboratorio, Hospital Quiron-Salud, Valencia, Espana. LA - spa PT - Case Reports TT - Liposarcoma desdiferenciado paratesticular simulando un tumor miofibroblastico inflamatorio. Estudio histologico, inmunohistoquimico y molecular. DEP - 20211007 PL - Spain TA - Rev Esp Patol JT - Revista espanola de patologia : publicacion oficial de la Sociedad Espanola de Anatomia Patologica y de la Sociedad Espanola de Citologia JID - 100885154 RN - 0 (Antigens, CD34) SB - IM MH - Antigens, CD34 MH - Chromosome Aberrations MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Lipoma MH - *Liposarcoma OTO - NOTNLM OT - Amplificacion MDM2 OT - Dedifferentiated liposarcoma OT - FISH OT - Histology OT - Histologia OT - Immunohistochemistry OT - Inmunohistoquimica OT - Liposarcoma desdiferenciado OT - MDM2 amplification EDAT- 2022/07/03 06:00 MHDA- 2022/07/08 06:00 CRDT- 2022/07/02 21:03 PHST- 2021/04/18 00:00 [received] PHST- 2021/06/26 00:00 [revised] PHST- 2021/07/04 00:00 [accepted] PHST- 2022/07/02 21:03 [entrez] PHST- 2022/07/03 06:00 [pubmed] PHST- 2022/07/08 06:00 [medline] AID - S1699-8855(21)00068-4 [pii] AID - 10.1016/j.patol.2021.07.002 [doi] PST - ppublish SO - Rev Esp Patol. 2022 Jul-Sep;55(3):212-217. doi: 10.1016/j.patol.2021.07.002. Epub 2021 Oct 7.