ABSTRACT
Follicular dendritic cell (FDC) sarcoma is a rare tumor. Most cases that have been
described involve lymph nodes in young adults, but have not been reported in pregnancy.
We describe the case of a 20-year-old woman with a FDC sarcoma diagnosed during pregnancy
that initially presented as a painful mass in the right axilla. The patient underwent
a tumor excision and chemotherapy. The intrapartum course was uncomplicated and she
delivered a live female child at 34 weeks. During her postpartum course, she received
radiation therapy and chemotherapy.
KEYWORDS
Sarcoma - pregnancy - surgery - chemotherapy - radiation
REFERENCES
- 1
Monda L, Warnke R, Rosai J.
Neophobia, a primary lymph node malignancy with features suggestive of dendritic reticulum
cell differentiation. A report of 4 cases.
Am J Pathol.
1986;
122
562-572
- 2
Chan J K, Fletcher C D, Nayler S J, Cooper K.
Follicular dendritic cell sarcoma. Clinicopathologic analysis of 17 cases suggesting
a malignant potential higher than currently recognized.
Cancer.
1997;
79
294-313
- 3
Biddle D A, Ro J Y, Yoon G S et al..
Extranodal follicular dendritic cell sarcoma of the head and neck region: three new
cases, with a review of the literature.
Mod Pathol.
2002;
15
50-58
, [erratum Mod Pathol 2002;15:475]
- 4
Hollowood K, Stamp G, Zouvani I, Fletcher C D.
Extranodal follicular dendritic cell sarcoma of the gastrointestinal tract. Morphologic,
immunohistochemical and ultrastructural analysis of two cases.
Am J Clin Pathol.
1995;
103
90-97
- 5
Araujo V C, Martins M T, Salmen F S, Araujo M S.
Extranodal follicular dendritic cell sarcoma of the palate.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod.
1999;
87
209-214
- 6
Fonseca R, Yamakawa M, Nakamura S et al..
Follicular dendritic cell sarcoma and interdigitating reticulum cell sarcoma: a review.
Am J Hematol.
1998;
59
161-167
- 7
Shah R N, Ozden O, Yeldandi A, Peterson L, Rao S, Laskin W B.
Follicular dendritic cell tumor presenting in the lung: a case report.
Hum Pathol.
2001;
32
745-749
- 8
Pauwels P, Dal Cin P, Vlasveld L T et al..
A chromosomal abnormality in hyaline vascular Castleman's disease: evidence for clonal
proliferation of dysplastic stromal cells.
Am J Surg Pathol.
2000;
24
882-888
- 9
Chan A C, Chan K W, Chan J K et al..
Development of follicular dendritic cell sarcoma in hyaline-vascular Castleman's disease
of the nasopharynx: tracing its evolution by sequential biopsies.
Histopathology.
2001;
38
510-518
- 10
Lee I J, Kim S C, Kim H S et al..
Paraneoplastic pemphigus associated with follicular dendritic cell sarcoma arising
from Castleman's tumor.
J Am Acad Dermatol.
1999;
40
294-297
- 11
Chan J K, Tsang W Y, Ng C S.
Follicular dendritic cell tumor and vascular neoplasm complicating hyaline-vascular
Castleman's disease.
Am J Surg Pathol.
1994;
18
517-525
- 12
Lin O, Frizzera G.
Angiomyoid and follicular dendritic cell proliferative lesions in Castleman's disease
of hyaline-vascular type: a study of 10 cases.
Am J Surg Pathol.
1997;
21
1295-1306
- 13
Katano H, Kaneko K, Shimizu S et al..
Follicular dendritic cell sarcoma complicated by hyaline-vascular type Castleman's
disease in a schizophrenic patient.
Pathol Int.
1997;
47
703-706
- 14
Fonseca R, Tefferi A, Strickler J.
Follicular dendritic cell sarcoma mimicking diffuse large cell lymphoma: a case report.
Am J Hematol.
1997;
55
148-155
- 15
Perez-Ordonez B, Erlandson R A, Rosai J.
Follicular dendritic tumor: report of 13 additional cases of a distinctive entity.
Am J Surg Pathol.
1996;
20
944-955
- 16
Monde L, Warnke R, Rosai J.
A primary lymph node malignancy with features suggestive of dendritic reticulum cell
differentiation: a report of 4 cases.
Am J Pathol.
1986;
122
562-572
- 17
Selves J, Meggetto F, Brousset P et al..
Inflammatory pseudotumor of the liver. Evidence for follicular dendritic reticulum
cell proliferation associated with clonal Epstein-Barr virus.
Am J Surg Pathol.
1996;
20
747-753
Ramzi AboujaoudeM.D.
200 Baldwin Road, Apt F25
Parsippany, NJ 07054