Histiocytic Sarcoma and Its Relation With Coeliac Disease

Histiocytic Sarcoma and Its Relation With Coeliac Disease

Background: In this report, the clinical and the histopathological findings of histiocytic sarcoma manifesting as an intestinal mass with coeliac disease are presented.Case Report: Histiocytic sarcoma is the malignant proliferation of cells showing morphological and immunophenotypical features of mature tissue histiocytes. The histiocytic sarcoma is usually an aggressive neoplasm, with a poor response to therapy.Conclusion: People with coeliac disease (CD) are known to be at increased risk of malignancy but its relation with histiocytic sarcoma is unpublished.

___

  • 1. Cattoretti G, Villa A, Vezzoni P, Giardini R, Lombardi L, Rilke F. Malignant histiosis. A phenotypic and genotypic investigation. Am J Pathol. 1990;136:1009-1019
  • 2. Hornick JL, Jaffe ES, Fletcher CD. Extranodal histiocytic sarcoma: clinicopathologic analysis of 14 cases of rare epithelioid malignancy. Am J Surg Pathol. 2004;28:1133-1144
  • 3. Anderson LA, McMillan SA, WatsonRG, et al. Malignancy and mortality in a populationbased cohort of patients with coeliac disease or ‘gluten sensitivity’. World J Gastroenterol:2007; 13: 146–51.
  • 4. Pileri SA, Gragon TM, Harris NL, Banks P, Campo E, Chan JK, Favera R, Delson G, De Wolf PC, Falini B, Gascoyne RD, Gaulard P, Gatter KC, Isaacson PG, Jaffe ES, Kluin P, Knowles DM, Mason DY, Mori S, Muller-Hermelink HK, Piris MA, Weiss LM. Tumors of histiocytes and accessory dentritic cells. An immunohistochemical appoach to classification from the Lymphoma Study Group based on 61 cases. Histopathology:2002;41:1-29
  • 5. S. Husby, yS. Koletzko, zI.R. Korponay-Szabo. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition Guidelines for the Diagnosis of Coeliac Disease Clinical guidline DeMent SH. Association between mediastinal germ cell tumors and hematologic malignancies: an update. Hum Pathol. 1990;21:669-703
  • 6. DeMent SH. Association between mediastinal germ cell tumors and hematologic malignancies: an update. Hum Pathol. 1990;21:669-703
  • 7. Feldman AL, Minniti C, Santi M, Downing JR, Raffeld M, Jaffe ES. Histiocytic sarcoma after acute lymphobalstic leukaemia: a common clonal origin . Lancet Oncol.2004;5:248-250
  • 8. P Brunner, A Rufle, S Dirnhofer, A Lohri, N Willi, G Cathomas, A Tzankov and D Juskevicius. Follicular lymphoma transformation into histiocytic sarcoma: indications for a common neoplastic progenitor Leukemia. 2014 Sep;28(9):1937-40. doi:10.1038/leu.2014.167. Epub 2014 May 21
  • 9. C Cellier, E Delabesse, C Helmer, N Patey. Refractory sprue, coeliac disease, and enteropathy-associated T-cell lymphoma - The Lancet, 2000 – Elsevier
  • 10. Swinson CM, Slavin G, Coles EC, Booth CC. Coeliac disease and malignancy. Lancet 1983; 1: 111–5. Figure-5: Immunohistochemical stain for CD68
  • 11. Grainge MJ, West J, Solaymani-Dodaran M, Card TR, Logan RF. The long-term risk of malignancy following a diagnosis of coeliac disease or dermatitis herpetiformis: a cohort study. Aliment Pharmacol Ther. 2012 Mar;35(6):730-9. doi: 10.1111/j.1365-2036.2012.04998.x. Epub 2012 Jan 30.
  • 12. Wilson MS, Weiss LM, Gatter KC, Mason DY, Dorfman RF, Warnke RA. Malignant histiocytosis. A reassessment of cases previously reported in 1975 based on paraffin section immunophenotyping studies. Cancer 1990; 66: 530-6.