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Home > E. Pathology by systems > Skin > fibrous histiocytoma

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fibrous histiocytoma

Digital epithelioid dermatofibroma Digital epithelioid dermatofibroma IMG/jpg/dermatofibroma_epithelioid_06_10-2.jpg IMG/jpg/dermatofibroma_epithelioid_06_6-2.jpg IMG/jpg/dermatofibroma_epithelioid_06_7-2.jpg

Type of fibrohistiocytic tumors.

Variants

- cellular fibrous histiocytoma
- aneurysmal fibrous histiocytoma
- atypical fibrous histiocytoma (pseudosarcomatous fibrous histiocytoma)
- epithelioid dermatofibroma (epithelioid fibrous histiocytoma)

Immunochemistry

- strong tenascin positivity at the dermal-epidermal junction overlying the lesion (100%)
- tenascin within the DF lesion (80%)
- CD34+ (25%) DF
- Factor XIIIa+ (95%) DF

Differential diagnosis

- Dermatofibroma (fibrous histiocytoma) vs DFSP (11172295)

DF
CD34 25% 80%
FXIIIa 95% 15%
Tenascin in the tumor 80% 80%
Tenascin at the dermal-epidermal junction 100% 0%

See also

- fibrohistiocytic tumors

Keywords