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Primary Tonsillar Epithelioid Follicular Dendritic Cell Sarcoma: Report of a Rare Case Mimicking Undifferentiated Carcinoma and a Brief Review of the Literature

  • Bingcheng Wu
  • Chwee Ming Lim
  • Fredrik PeterssonEmail author
Original Paper

Abstract

We present a 52 years old male with a left tonsillar follicular dendritic cell sarcoma with prominent epithelioid features that on light microscopical examination bore a striking resemblance to a lymphoepithelial or undifferentiated carcinoma. The tumor was immunohistochemically positive for CD21 and CD35 and negative for cytokeratins. Two distinct histopathological features (both present in our case) that may serve as clues to the correct diagnosis on light microscopical examination were formation of ectatic pseudovascular spaces lined by malignant cells and the presence of non-neoplastic multinucleated giant cells. Familiarity with the above-mentioned morphological clues, and awareness that this tumour may occur in anatomical sites outside the lymph node, are essential for accurate diagnosis.

Keywords

Dendritic cell sarcoma Follicular Palatine tonsil Carcinoma Oropharynx 

Notes

Funding

No funding was received.

Compliance with Ethical Standards

Conflict of interest

The author has no conflict of interest.

Ethical Approval

It is our institution’s policy not to require formal ethical approval for reports on up to two patients.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PathologyNational University Health SystemSingaporeSingapore
  2. 2.Department of OtolaryngologyNational University Health SystemSingaporeSingapore

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