sarcoma

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Related to spindle cell sarcoma: spindle cell carcinoma

sarcoma

(särkō`mə), highly malignant tumor arising in connective- and muscle-cell tissue. It is the result of oncogenes (the cancer causing genes of some viruses) and proto-oncogenes (cancer causing genes in human cells). It may affect bone, cartilage, blood vessels, lymph nodes, and skin. See cancercancer,
in medicine, common term for neoplasms, or tumors, that are malignant. Like benign tumors, malignant tumors do not respond to body mechanisms that limit cell growth.
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; neoplasmneoplasm
or tumor,
tissue composed of cells that grow in an abnormal way. Normal tissue is growth-limited, i.e., cell reproduction is equal to cell death. Feedback controls limit cell division after a certain number of cells have developed, allowing for tissue repair
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.

Sarcoma

 

a malignant tumor that consists of connective tissue. Mesenchymomas, which are sarcomas made up of embryonic connective tissue (mesenchyma), are distinguished from sarcomas made up of mature tissues of mesenchymal origin, for example, bone sarcomas (osteosarcomas), cartilaginous sarcomas (chondrosarcomas), vascular sarcomas (angiosarcomas), hematopoietic sarcomas (reticulosarcomas), muscular sarcomas (leiomyosarcomas, rhabdosarcomas), and sarcomas of skeletal nerve tissue (gliosarcomas).

Sarcomas constitute about 10 percent of all malignant tumors; they occur relatively more often in some African and Asian countries. The most common sarcomas are bone tumors and tumors of soft tissues, including muscular, vascular, and nerve tissues. Sarcomas of the hematopoietic organs occur less frequently. Histomorphologically, there are round-cell, polymorphocellular (sometimes giant-cell), and spindle-cell sarcomas, all of which differ in the shape and size of the cells, and fibrosarcomas, in which fibrous elements predominate over cellular elements.

All malignant tumors are characterized by growing into and destroying surrounding tissues; this property is especially pronounced in sarcomas. The early stages of cancers differ from the early stages of sarcomas; cancers metastasize to the nearest lymph nodes, while sarcomas usually spread by way of the bloodstream and frequently metastasize to remote organs.

The principles and methods of diagnosis, preventive measures, and treatment of sarcomas are the same as those used for other malignant tumors.

REFERENCE

Klinicheskaia onkologiia. Edited by N. N. Blokhin and B. E. Peterson, vols. 1–2. Moscow, 1971.

L. M. SHABAD

sarcoma

[sär′kō·mə]
(medicine)
A malignant tumor arising in connective tissue and composed principally of anaplastic cells that resemble those of supportive tissues.

sarcoma

Pathol a usually malignant tumour arising from connective tissue
References in periodicals archive ?
15) The dove in this report had a spindle cell sarcoma mass identified 8 months after the initial diagnosis of osteosarcoma.
Immunohistochemical staining for osteocalcin and osteonectin was performed in this case in an attempt to further classify the identified spindle cell sarcoma.
Although radiographically and histologically similar to the other spindle cell sarcomas, leiomyosarcoma is immunohistochemically distinct.
b) Osteosarcoma (n = 9), Ewing sarcoma (n = 2), metastatic rhabdoid tumor (n = 1), metastatic synovial sarcoma (n = 1), spindle cell sarcoma (n = 1), diffuse large B-cell lymphoma (n = 1), and clear cell chondrosarcoma (n = 1).
The histopathological report confirmed a high-grade spindle cell sarcoma that had been completely excised with 2mm margins.
11,12) As with highgrade round cell sarcomas and spindle cell sarcomas, a number of these neoplasms, which did not contain a translocation identifiable by FISH, were classified as low-grade myxoid neoplasm, not otherwise specified.
The diagnostic challenge of MPNSTs resides mainly in distinguishing them from other spindle cell sarcomas, such as fibrosarcoma, monophasic synovial sarcoma, leiomyosarcoma, and neurotrophic/desmoplastic melanoma.
of cases (%) Chondrosarcoma 24 (30) Rhabdomyosarcoma 16 (20) Undifferentiated spindle cell sarcoma 14 (17) Leiomyosarcoma 6 (7) Liposarcoma 2 (2.
The differential diagnosis includes pure fibromatosis, exuberant scars, reactive spindle cell nodules, nodular fasciitis, inflammatory myofibroblastic tumor, myofibroblastoma, pseudoangiomatous stromal hyperplasia, phyllodes tumor, dermatofibrosarcoma protuberans, and spindle cell sarcomas.
Malignant perineurioma is very rare, and its diagnosis may be difficult without confirmatory ultrastructural studies (41) because EMA positivity is also seen in other high-grade spindle cell sarcomas (eg, epithelioid sarcoma and monophasic synovial sarcoma), as well as in spindle cell squamous cell carcinoma.
It was reported that all synovial sarcomas, whether monophasic fibrous or biphasic, expressed E-cadherin, indicating E-cadherin as a marker for differentiation between synovial sarcomas and other types of spindle cell sarcomas.