Cartwheel pattern

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Cartwheel pattern. This is a case of dermatofibrosarcoma protuberans from skin and soft tissue in the abdominal area. HE stain. Histopathology of cartwheel pattern in dermatofibrosarcoma protuberans, annotated.jpg
Cartwheel pattern. This is a case of dermatofibrosarcoma protuberans from skin and soft tissue in the abdominal area. HE stain.

A cartwheel pattern pattern is a histopathologic architectural pattern. Microscopically, cartwheel arrangements appear to have center points that radiate cells or connective tissue outward. Cartwheel patterns may be irregular and, at lower magnification, can cause tissue to appear tangled into clumps. [1]

Skin tumors that can be classified as "storiform," having spindle cells with elongated nuclei radiating from a center point, are mainly: [2]

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<span class="mw-page-title-main">Fibroblast</span> Animal connective tissue cell

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Giant cell fibroblastoma (GCF) is a rare type of soft-tissue tumor marked by painless nodules in the dermis and subcutaneous tissue. These tumors may come back after surgery, but they do not spread to other parts of the body. They occur mostly in boys. GCF tumor tissues consist of bland spindle-shaped or stellate-shaped cells interspersed among multinucleated giant cells.

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Infantile digital fibromatosis (IDF), also termed inclusion body fibromatosis, Reye tumor, or Reye's tumor, usually occurs as a single, small, asymptomatic, nodule in the dermis on a finger or toe of infants and young children. IMF is a rare disorder with approximately 200 cases reported in the medical literature as of 2021. The World Health Organization in 2020 classified these nodules as a specific benign tumor type in the category of fibroblastic and myofibroblastic tumors. IDF was first described by the Australian pathologist, Douglas Reye, in 1965.

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Cellular angiofibroma (CAF) is a rare, benign tumor of superficial soft tissues that was first described by M. R. Nucci et al. in 1997. These tumors occur predominantly in the distal parts of the female and male reproductive systems, i.e. in the vulva-vaginal and inguinal-scrotal areas, respectively, or, less commonly, in various other superficial soft tissue areas throughout the body. CAF tumors develop exclusively in adults who typically are more than 30 years old.

Dermatofibrosarcoma protuberans, fibrosarcomatous (DFSP-FS), also termed fibrosarcomatous dermatofibrosarcoma protuberans, is a rare type of tumor located in the dermis. DFSP-FS tumors have been viewed as: 1) a more aggressive form of the dermatofibrosarcoma protuberans (DFSP) tumors because they have areas that resemble and tend to behave like malignant fibrosarcomas or 2) as a distinctly different tumor than DFSP. DFSP-FS tumors are related to DFSP. For example, surgically removed DFSP tumors often recur with newly developed fibrobosarcoma-like areas. Nonetheless, the World Health Organization (WHO), 2020, classified DFSP and DFSP-FS as different tumors with DFSP being in the category of benign and DFSP-FS in the category of rarely metastasizing fibroblastic and myofibroblastic tumors. This article follows the WHO classification: the 5-15% of DFSP tumors that have any areas of fibrosarcomatous microscopic histopathology are here considered DFSP-FS rather than DFSP tumors.

References

  1. Stone, John H.; Zen, Yoh; Deshpande, Vikram (2012). "IgG4-Related Disease". The New England Journal of Medicine. 366: 539–551. doi:10.1056/NEJMra1104650.
  2. Choi, Joon Hyuk; Ro, Jae Y. (2018). "Cutaneous Spindle Cell Neoplasms: Pattern-Based Diagnostic Approach". Archives of Pathology & Laboratory Medicine. 142 (8): 958–972. doi: 10.5858/arpa.2018-0112-RA . ISSN   0003-9985. PMID   30040457.