Nodular spindle-cell vascular transformation of lymph nodes: A benign process occurring predominantly in retroperitoneal lymph nodes draining carcinomas that can simulate Kaposi's sarcoma or metastatic tumor Journal Article


Authors: Cook, P. D.; Czerniak, B.; Chan, J. K. C.; Mackay, B.; Ordóñez, N. G.; Ayala, A. G.; Rosai, J.
Article Title: Nodular spindle-cell vascular transformation of lymph nodes: A benign process occurring predominantly in retroperitoneal lymph nodes draining carcinomas that can simulate Kaposi's sarcoma or metastatic tumor
Abstract: We describe a vasoproliferative nodular spindle-cell lesion representing a variant of vascular transformation of lymph-node sinuses and designated a nodular spindle-cell vascular transformation of lymph nodes. The lesion is most frequently identified in retroperitoneal lymph nodes excised in association with radical nephrectomies for renal cell carcinoma, but it can also be present in association with other malignant tumors. Occasionally it is seen in superficial lymph nodes in patients with no history of malignant neoplasms. This lesion can be confused with Kaposi's sarcoma or with a metastatic sarcomatoid carcinoma because of its spindle-cell composition, cellular-ity, occasional high mitotic activity, and frequent occurrence in the regional lymphatic drainage of a known malignancy.
Keywords: immunohistochemistry; adult; clinical article; controlled study; human tissue; aged; histopathology; paraaortic lymph node; electron microscopy; kidney carcinoma; nephrectomy; cell transformation; spindle cell; kaposi sarcoma; lymph node cell; human; male; female; article; nodular spindle-cell vascular transformation of lymph nodes; vascular lesions of lymph nodes
Journal Title: American Journal of Surgical Pathology
Volume: 19
Issue: 9
ISSN: 0147-5185
Publisher: Lippincott Williams & Wilkins  
Date Published: 1995-09-01
Start Page: 1010
End Page: 1020
Language: English
DOI: 10.1097/00000478-199509000-00004
PUBMED: 7661274
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 28 August 2018 -- Source: Scopus
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  1. Juan Rosai
    181 Rosai