Bizarre (pseudomalignant) granulation-tissue reactions following ionizing-radiation exposure. A microscopic, immunohistochemical, and flow-cytometric study.

Abstract:

:Two patients developed extremely bizarre (pseudomalignant) granulation-tissue reactions in the larynx and facial sinuses, following radiation therapy for carcinoma. Containing pleomorphic spindle cells and numerous (sometimes atypical) mitotic figures, both tumefactive lesions simulated high grade malignancies. While the pleomorphic cells contained vimentin immunoreactivity, they were nonreactive for low or high molecular weight keratin. Flowcytometric study of paraffin-embedded tissues revealed DNA indexes of 0.75 and 1.0. Neither recurred locally nor spread distantly after therapy. Their granulation-tissue growth pattern, and the presence of stromal and endothelial cells showing similar degrees of cytologic atypia were central to their recognition as benign. These findings show that severely atypical, sometimes aneuploid, granulation-tissue reactions can occur following radiation exposure. Care should be taken not to misinterpret these lesions as malignant.

journal_name

Cancer

journal_title

Cancer

authors

Weidner N,Askin FB,Berthrong M,Hopkins MB,Kute TE,McGuirt FW

doi

10.1002/1097-0142(19870415)59:8<1509::aid-cncr2820

subject

Has Abstract

pub_date

1987-04-15 00:00:00

pages

1509-14

issue

8

eissn

0008-543X

issn

1097-0142

journal_volume

59

pub_type

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