Rosalía Sarabia Ochoa, Juan Pablo García de la Torre
{"title":"Tumor espermatocítico variante anaplásica sincrónico bilateral: reporte de una neoplasia infrecuente","authors":"Rosalía Sarabia Ochoa, Juan Pablo García de la Torre","doi":"10.1016/j.patol.2024.01.002","DOIUrl":"10.1016/j.patol.2024.01.002","url":null,"abstract":"<div><p>Spermatocytic tumor is a very rare germ cell testicular neoplasm that accounts for less than 1% of testicular cancers. It generally affects older men with a mean age of 53.6 years (range 19-92 years).</p><p>Spermatocytic tumor is classified within the group of germ cell tumors not related to germ cell neoplasia <em>in situ.</em> It presents clinicopathological characteristics different from classic seminoma and is not considered a variant of the latter. Due to a morphologic overlap with classical seminoma, it was called “sperm cell seminoma” in the past.</p><p>The anaplastic variant of spermatocytic tumor is exceptional, few cases have been described in the literature, it presents an earlier onset compared to spermatocytic tumor and a benign behavior despite showing histological patterns similar to classic seminoma. We present the second case of bilateral synchronous anaplastic spermatocytic tumor, in a young patient treated with orchiectomy and chemotherapy.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139883264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enteroblastic adenocarcinoma of the ampulla of Vater","authors":"Amanda Rodríguez-Villena , Alejandra Veliz-Domínguez , Irene González-García , Ignacio Ruz-Caracuel","doi":"10.1016/j.patol.2024.01.004","DOIUrl":"10.1016/j.patol.2024.01.004","url":null,"abstract":"<div><p>Adenocarcinoma with enteroblastic differentiation is a rare histologic subtype of adenocarcinoma of the gastrointestinal tract that shows unique histologic and immunohistochemical features that resemble fetal intestinal epithelium. This histological subtype has been widely described in the stomach, where it most frequently appears, but, in other locations, it is misdiagnosed because of the poor experience in routine diagnostic setting. Here we present a case of an 87-year-old male with an adenocarcinoma of the ampulla of Vater with enteroblastic differentiation with a literature review of the cases described of this subtype in this location to date. The anatomical peculiarity of the ampulla, joined with the infrequent nature of this histological subtype, makes this case of great interest to aid to better characterize the biological behavior of these tumors.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140273068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
João Martins Gama , Rui Caetano Oliveira , Rúben Fonseca , Maria Augusta Cipriano , José Casanova
{"title":"Extraskeletal myxoid chondrosarcoma metastasis to a Meckel's diverticulum adenocarcinoma","authors":"João Martins Gama , Rui Caetano Oliveira , Rúben Fonseca , Maria Augusta Cipriano , José Casanova","doi":"10.1016/j.patol.2023.12.002","DOIUrl":"10.1016/j.patol.2023.12.002","url":null,"abstract":"<div><p>Extraskeletal myxoid chondrosarcoma is a rare soft tissue tumour with a high local and distant metastasis rate and limited response to chemotherapy.</p><p>Meckel's diverticulum is the most frequent congenital anomaly, and it is associated with a considerable risk of malignant transformation.</p><p>In this case report, we describe a 50-year-old female patient with a history of extraskeletal myxoid chondrosarcoma of the lower limb and metastasis to the forearm who went to the emergency department with abdominal pain. The investigations revealed a caecal volvulus. A lesion in the middle third of the ileum was incidentally discovered and removed during surgery.</p><p>Pathology examination revealed a Meckel's diverticulum adenocarcinoma, with metastasis of extraskeletal myxoid chondrosarcoma.</p><p>Resection was complete; however, the patient had diffuse metastatic pulmonary disease and died eight months later due to disease progression.</p><p>This mechanism of tumour-to-tumour metastasis is described in other locations, but, regarding the Meckel's diverticulum, this is a unique situation, previously unreported in the literature.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S169988552400014X/pdfft?md5=f108a76f16b6e2afe503e9d7b1fa05de&pid=1-s2.0-S169988552400014X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140467028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impacto de la patología computacional en Patología","authors":"Antonio Félix Conde Martín","doi":"10.1016/j.patol.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.patol.2024.03.001","url":null,"abstract":"","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140536209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Teresa Fernández Figueras , Jacques Alzoghby-Abi Chaker , Miriam Fernandez-Parrado , Adriana García Herrera , María Garrido , Miguel Ángel Idoate Gastearena , Mar Llamas-Velasco , Carlos Monteagudo , José Onrubia , Noelia Pérez Muñoz , Juan José Ríos-Martín , José Luis Rodríguez Peralto , Eduardo Rozas Muñoz , Onofre Sanmartín , Ángel Santos-Briz , Carles Saus , José Manuel Suárez Peñaranda , Verónica Velasco Benito , María José Beato Merino , Ángel Fernandez-Flores
{"title":"Principales tipos de quistes en dermatopatología: Parte 2","authors":"María Teresa Fernández Figueras , Jacques Alzoghby-Abi Chaker , Miriam Fernandez-Parrado , Adriana García Herrera , María Garrido , Miguel Ángel Idoate Gastearena , Mar Llamas-Velasco , Carlos Monteagudo , José Onrubia , Noelia Pérez Muñoz , Juan José Ríos-Martín , José Luis Rodríguez Peralto , Eduardo Rozas Muñoz , Onofre Sanmartín , Ángel Santos-Briz , Carles Saus , José Manuel Suárez Peñaranda , Verónica Velasco Benito , María José Beato Merino , Ángel Fernandez-Flores","doi":"10.1016/j.patol.2023.11.007","DOIUrl":"10.1016/j.patol.2023.11.007","url":null,"abstract":"<div><p>This is the second article in a two-part series published in this journal, in which we examine the histopathological characteristics, as well as the differential diagnosis, of the main entities that present as cystic and pseudocystic structures in cutaneous biopsy. In this second article, we address ciliated cutaneous cysts, branchial cysts, Bartholin's cysts, omphalomesenteric cysts, thymic cysts, thyroglossal duct cysts, synovial cysts, and median raphe cysts, as well as mucocele, ganglion, and auricular and digital myxoid pseudocysts.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irene Iglesias de Ussel Galarreta, Francisco Javier Queipo Gutiérrez
{"title":"Stromal osseous metaplasia in urothelial carcinoma of the bladder: An unusual and challenging feature. A case report","authors":"Irene Iglesias de Ussel Galarreta, Francisco Javier Queipo Gutiérrez","doi":"10.1016/j.patol.2023.09.002","DOIUrl":"10.1016/j.patol.2023.09.002","url":null,"abstract":"<div><p>A 62-year-old male presented with pain and haematuria starting 3 months before. The computed tomography showed focal and mural bladder thickening with ureteropelvic dilatation. The following transurethral bladder resection revealed a high-grade muscle-invasive urothelial carcinoma. In the subsequent cystoprostatectomy we found the same tumour, but adding focal tumour-associated stromal osseous metaplasia.</p><p>Ossifying metaplasia is an extremely rare feature in urothelial carcinoma, with a few reported cases and represents a diagnostic challenge, mimicking radiotherapy-induced sarcoma or sarcomatoid carcinoma.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139297747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tumor fibroso calcificante intestinal: reporte de caso","authors":"Gonzalo Nathaniel Cantú-Soriano , Álvaro Lezid Padilla-Rodríguez","doi":"10.1016/j.patol.2023.11.003","DOIUrl":"https://doi.org/10.1016/j.patol.2023.11.003","url":null,"abstract":"<div><p>Calcifying fibrous tumor (CFT) is a rare benign lesion of mesenchymal origin that may present similar characteristics to other more common tumors. We present the case of a 36-year-old woman with a tumor in the proximal jejunum, initially suspected to be a gastrointestinal stromal tumor (GIST). Surgical resection was performed, revealing a well-demarcated nodule at the anti-mesenteric border with microscopic features typical of a calcifying fibrous tumor. The tumor cells were positive for CD34 and negative for other markers, differentiating it from other neoplasms. Calcifying fibrous tumors can be confused with more common tumors because of its appearance, but an accurate diagnosis supported by immunohistochemistry is essential. Complete surgical excision is usually curative.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140535255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adriano Martínez-Aracil , Diego Polanco-Alonso , Celina Stayerman , Carlos Miguel , Guiomar Pérez de Nanclares
{"title":"Colonic adenomatous polyp with florid presence of monoclonal lambda Russell bodies: Case report and etiopathogenic hypothesis","authors":"Adriano Martínez-Aracil , Diego Polanco-Alonso , Celina Stayerman , Carlos Miguel , Guiomar Pérez de Nanclares","doi":"10.1016/j.patol.2023.07.001","DOIUrl":"10.1016/j.patol.2023.07.001","url":null,"abstract":"<div><p>Russell bodies (RBs) are round eosinophilic intracytoplasmic inclusions formed by condensed immunoglobulins in mature plasma cells, which are called Mott cells. These cells are rarely found in the gastric tract, with even less cases reported in the colorectal region. There are still many questions about this event, as it is still unknown the relationship between the agents reported of increasing the probability of appearance of these cells and the generation of RBs. In this case report we describe the fifth patient presenting an infiltration of Mott cells in a colorectal polyp, being the second case with a monoclonal origin without a neoplastic cause, and the first one monoclonal for lambda. A comparison with previously similar reported cases is also done, and a possible etiopathogenic hypothesis proposed.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55190097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interpretación histopatológica de biopsias por tumores melanocíticos en localizaciones especiales","authors":"Caridad Socorro Castro , Susana Hernández Delgado , Rosayner García Palacios","doi":"10.1016/j.patol.2023.02.006","DOIUrl":"10.1016/j.patol.2023.02.006","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>Melanoma is the leading cause of death from skin cancer in the world. Despite the advances in molecular diagnosis, the differential diagnosis between melanoma and benign melanocytic tumors relies on histopathology. However, not all of the criteria for the microscopy of a biopsy of a melanocytic tumor are applicable to all locations.</p></div><div><h3>Patients</h3><p>We highlight these difficulties in the presentation of 2<!--> <!-->cases of melanocytic tumors in unusual locations which were diagnostically challenging.</p></div><div><h3>Results</h3><p>After analyzing the relevant literature, the atypical histopathological characteristics of melanocytic tumors could be specified for unusual anatomical sites.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55189654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Linking inflammation and angiogenesis with fibrogenesis: Expression of FXIIIA, MMP-9, and VEGF in oral submucous fibrosis","authors":"Sheetal Choudhari , Deepak Kulkarni , Sangeeta Patankar , Supriya Kheur , Sachin Sarode","doi":"10.1016/j.patol.2023.11.005","DOIUrl":"10.1016/j.patol.2023.11.005","url":null,"abstract":"<div><h3>Objectives</h3><p>Interplay of Factor XIIIa (FXIIIa), a transglutaminase, responsible for cross-linking of matrix proteins, Matrix Metalloproteinase-9 (MMP-9), a gelatinase, and Vascular Endothelial Growth Factor (VEGF), an angiogenic inducer, were studied in relation to fibrogenesis and disease progression in oral submucous fibrosis (OSMF).</p></div><div><h3>Material and methods</h3><p>Immunohistochemical expression of markers was studied in 60 formalin-fixed paraffin-embedded tissue blocks of OSMF and 20 normal oral mucosal tissues. FXIIIa was studied quantitatively while MMP-9 and VEGF were assessed semi-quantitatively. Expression was compared with histopathological grades of OSMF.</p></div><div><h3>Results</h3><p>FXIIIa expression significantly increased in OSMF (<em>p-value 0.000</em>). However, expression decreased and cells became quiescent with increasing grades (<em>p-value 0.000</em>). MMP-9 (<em>p-value</em> epithelium <em>0.011</em>, <em>p-value connective tissue 0.000</em>) and VEGF expression (<em>p-value epithelium 0.000</em>, <em>connective tissue 0.000</em>) increased in OSMF. A negative correlation between FXIIIa and MMP-9 (−0.653) in early grade (<em>p-value of 0.021</em>) and a positive correlation between FXIIIa and VEGF (0.595) (<em>p-value of 0.032</em>) was found in the moderate grade OSMF. Regression analysis showed a significant association (<em>p</em> <!--><<!--> <em>0.01</em>) of FXIIIa in OSMF and with increasing grades of OSMF.</p></div><div><h3>Conclusion</h3><p>FXIIIa may play a crucial role in initiation of fibrosis in OSMF. MMP-9 may have a diverse role to play in OSMF as a regulator of fibrosis. VEGF may show an angio-fibrotic switch and contribute to fibrosis in OSMF. These cytokines may show altered function and can contribute to fibrosis and chronicity of disease due to changes in the microenvironment. Tissue stiffness in OSMF itself creates an environment that enhances the chronicity of the disease.</p></div>","PeriodicalId":39194,"journal":{"name":"Revista Espanola de Patologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}