Abstract
Follicular dendritic cell sarcomas are unusual, and extranodal origin is extremely rare. The English literature contains only eight cases in which this sarcoma has been presented as a tonsillar mass. We report a new case of follicular dendritic cell sarcoma of the tonsil in a 76 year old woman. The patient underwent diagnostic tonsillectomy for a left tonsillar mass, and follicular dendritic cell sarcoma was diagnosed based on histopathological and immunoperoxidase findings. Postoperative radiotherapy was performed. The patient is alive and disease-free at 4 years of follow-up. Without a high index of suspicion, this entity can easily be missed. We believe that follicular dendritic cell sarcoma should be included in the differential diagnosis for any tonsillar mass.
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Biddle DA, Ro JY, Yoon GS, Yong YW, Ayala AG, Ordonez NG, Ro J (2002) Extranodal follicular dendritic cell sarcoma of the head and neck region: three new cases, with a review of the literature. Mod Pathol 15:50–585
Chan JK, Tsang WY, Ng CS, Tang SK, Yu HC, Lee AW (1994) Follicular dendritic cell tumors of the oral cavity. Am J Surg Pathol 18:148–157
Chan JK, Fletcher CD, Nayler SJ, Cooper K (1997) Follicular dendritic cell sarcoma. Clinicopathologic analysis of 17 cases suggesting a malignant potential higher than currently recognized. Cancer 15(79):294–313
Dominguez-Malagon H, Cano-Valdez AM, Mosqueda-Taylor A, Hes O (2004) Follicular dendritic cell sarcoma of the pharyngeal region: histologic, cytologic, immunohistochemical, and ultrastructural study of three cases. Ann Diagn Pathol 8:325–332
Galati LT, Barnes EL, Myers EN (1999) Dendritic cell sarcoma of the thyroid. Head Neck 21:273–275
Monda L, Warnke R, Rosai J (1986) A primary lymph node malignancy with features suggestive of dendritic reticulum cell differentiation. A report of 4 cases. Am J Pathol 122:562–572
Perez-Ordonez B, Erlandson RA, Rosai J (1996) Follicular dendritic cell tumor: report of 13 additional cases of a distinctive entity. Am J Surg Pathol l20:944–955
Tisch M, Hengstermann F, Kraft K, von Hinuber G, Maier H (2003) Follicular dendritic cell sarcoma of the tonsil: report of a rare case. Ear Nose Throat J 82:507–509
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Aydin, E., Ozluoglu, L.N., Demirhan, B. et al. Follicular dendritic cell sarcoma of the tonsil: case report. Eur Arch Otorhinolaryngol 263, 1155–1157 (2006). https://doi.org/10.1007/s00405-006-0124-9
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DOI: https://doi.org/10.1007/s00405-006-0124-9