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Diamond and diamond law firm. The definition of sarcomatoid carcinoma described in the who 2004 criteria is poorly differentiated nonsmall cell lung carcinomas that contain a component of sarcoma or sarcomalike spindle andor giant cells differentiation. Spindle cell tumors that arise in or metastasize to the pleura must be thoroughly evaluated to arrive at a definitive diagnosis. It is estimated that 20 of mesothelioma cases are of this type.
Mesothelioma is rare cancer with only 3000 cases diagnosed annually but the prognosis is poor. Exclude possibility of other lesions c. It accounts for approximately 10 20 of all mesothelioma diagnoses.
There are no clear guidelines in the literature. Additionally many tumors arising in the lung and surrounding tissues involve the pleura. A systematic analysis review of best evidence with meta analysis was performed.
Spindle cell mesothelioma refers to a type of disease called sarcomatoid mesothelioma. What is spindle cell mesothelioma. A systematic literature review of the immuno.
They appear similar to other types of cancer and the. Spindle cell carcinoma of lung is a very rare type of carcinoma that does not contain any differentiated carcinomatous component but consist only of pure malignant spindle cells according to the who a definitive diagnosis of the carcinoma can only be made on a surgically biopsied tumor specimen which is then examined under a microscope. Possible spindle cellpleomorphic carcinoma or sarcoma.
Sarcomatoid mesothelioma is a rare cell type caused by asbestos exposure. Sarcomatoid mesothelioma is the least common and is often referred to as cell type or spindle cell mesothelioma. Immunohistochemistry is used to distinguish sarcomatoid malignant mesotheliomas smm from spindle cell and pleomorphic carcinomas spc but there are no guidelines on how to interpret cases that show overlapping or equivocal immunohistochemical findings.
Sometimes referred to as spindle cell mesothelioma sarcomatoid cells are recognized by their oval spindle shape. Malignant mesothelioma is the most common tumor arising in the pleura but metastatic tumors to the pleura occur more frequently. This immunophenotype is unusual and immunostains should probably be repeated to exclude laboratory errors.
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