Korean J Pathol.  2005 Oct;39(5):356-359.

Histiocytic Sarcoma of the Spleen: A Case Report and Review of the Literature

• Paik JH
• Jeon YK
• Park SS
• Min HS
• Kim YA
• Kim JE
• Kim CW

Abstract

True histiocytic sarcoma is an extremely rare tumor. Its clinicopathological features are not clearly understood. Here, we report the first Korean case of primary splenic histiocytic sarcoma. A 64-year-old female having refractory thrombocytopenia, anemia and splenic mass was admitted to the hospital, and received splenectomy. Grossly, spleen was enlarged up to 18 x 13 x 8 cm and occupied with multinodular masses. Microscopically, the masses were composed of atyical large cells with abudant cytoplasm and vesicular nuclei with prominent hemophagocytosis. The tumor cells were CD68 (+), S-100 protein (-), CD21 (-), CD1a (-). After splenectomy, thrombocytopenia and anemia were corrected. However two months later the symptoms recurred, and the patient died 15 months after splenectomy. This case shared the common clinicopathologic features with the several previously reported cases in other countries, represented by splenic mass formation and prominent hemophagocytosis associated with thrombocytopenia and anemia, often leading to poor outcome.

Keyword

Histiocytic sarcoma; Spleen; Thrombocytopenia

MeSH Terms

Anemia
Cytoplasm
Female
Histiocytic Sarcoma*
Humans
Middle Aged
S100 Proteins
Spleen*
Splenectomy
Thrombocytopenia
S100 Proteins