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Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(2):216.
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Diagnosis: Solitary fibrous tumor (SFT) of the submandibular gland
Solitary fibrous tumor, a generally benign spindle cell neoplasm that originates from the visceral or parietal pleura and less commonly from other serosal surfaces, was first described by Klemperer and Rabin1 in 1931. It was initially termed localized mesothelioma because it was believed to arise from mesothelial cells.2 However, immunohistochemical evidence has revealed that the tumor has a mesenchymal and not a mesothelial phenotype. Solitary fibrous tumors express vimentin, which is a marker of mesenchymal cells, and do not express cytoplasmic keratins, which are found in mesotheliomas.2 On the other hand, they have recently been described in a variety of extrapleural sites that are not associated with serosal surfaces,3 including the head and neck region. Although their occurrence in the head and neck region is very rare, some reported locations include the upper respiratory tract and major salivary glands.4-6
The morphological appearance of SFTs is variable; however, they are often . . . [Full Text of this Article]
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Pathology Quiz Case 1
Chia-Hsiang Fu, Shir-Hwa Ueng, Po-Yuan Shao, and Kai-Ping Chang
Arch Otolaryngol Head Neck Surg. 2008;134(2):214.
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