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Immunohistology of Leukemia Cutis and Histiocytic Tumors

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Applied Immunohistochemistry in the Evaluation of Skin Neoplasms

Abstract

The diseases studied in this chapter constitute a heterogeneous group of lesions that range from reactive conditions to highly aggressive neoplasms. These entities have been grouped into two main sections. The first one deals with myeloproliferative neoplasms and includes mastocytosis as well, since even in cases of mastocytosis with clinical symptoms seemingly limited to the skin a potential systemic involvement should be investigated. Also in the first section, leukemia cutis and myeloid sarcoma have been put together due to the considerable overlap of these two entities. The second group includes conditions caused by proliferation of dendritic cells such as Langerhans cell histiocytosis, Langerhans cell sarcoma, and indeterminate dendritic cell tumor. Then, the chapter deals with macrophage-related diseases, including juvenile xanthogranuloma and related diseases, hemophagocytic lymphohistiocytosis, multicentric reticulohistiocytosis, reticulohistiocytoma, Rosai-Dorfman disease, cutaneous Kikuchi-Fujimoto disease, and cutaneous intralymphatic histiocytosis. Multicentric reticulohistiocytosis and solitary reticulohistiocytoma, also known as solitary epithelioid histiocytoma, have been considered separately since despite their sharing many microscopical and immunohistochemical features they are distinct entities with striking clinical differences. Multicentric reticulohistiocytosis can involve extracutaneous locations and is frequently associated with a rheumatological disease, whereas solitary reticulohistiocytoma seems to be tumoral in nature. Finally, the malignant histiocytic and dendritic cell sarcomas include histiocytic sarcoma, follicular dendritic cell sarcoma, and interdigitating dendritic cell sarcoma.

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Figueras, M.T.F., Tapia, G., Mate, J.L., Ariza, A. (2016). Immunohistology of Leukemia Cutis and Histiocytic Tumors. In: Plaza, J., Prieto, V. (eds) Applied Immunohistochemistry in the Evaluation of Skin Neoplasms. Springer, Cham. https://doi.org/10.1007/978-3-319-30590-5_11

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