Abstract
The hepatobiliary tract can be involved by members of the dendritic cell tumor group. Follicular dendritic cell tumor/sarcoma is a rare neoplasm of young and middle-aged individuals, presenting with nodal and extranodal manifestations. The term follicular dendritic cell sarcoma (FDCS) is now proposed by the WHO classification. The main feature of FDCS is a proliferation of rather large fusiform or spindled cells arranged in the form of fascicular, storiform, or whorled patterns. These cells consistently express CD21, CD35, CAN-42, and variably S-100 protein and epithelial membrane antigen. FDCS develops in the liver as sometimes large mass lesions that can express EBV markers. A variant of FDCS displays inflammatory pseudotumor-like features. A second neoplasm of dendritic cells that can occur in the hepatobiliary tract is interdigitating dendritic cell sarcoma, a tumor that usually develops in lymph nodes of elderly subjects. It is characterized by a proliferation of CD1a-negative histiocyte-like cells with nuclear pleomorphism and expression of CD68 and S-100 protein. The liver may be the site of reticulum cell-related tumors (fibroblastic reticular cells tumors).
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Zimmermann, A. (2017). Tumors of the Dendritic Cell System. In: Tumors and Tumor-Like Lesions of the Hepatobiliary Tract. Springer, Cham. https://doi.org/10.1007/978-3-319-26956-6_102
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