2020
DOI: 10.1097/dad.0000000000001769
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Osteoclast-Like Giant Cells: Focus on Entities Relevant to Dermatopathology and Underlying Pathogenesis

Abstract: Osteoclast-like giant cells (OLGCs) resemble osteoclasts with their abundant cytoplasm and well-developed organelles. OLGCs are characteristic features of giant cell tumor of the tendon sheath and giant cell tumor of soft tissue but they have also been described in numerous other cutaneous conditions. The diagnostic and prognostic significance of the presence of OLGCs is unknown. Here, we summarize the clinical entities that can exhibit these cells to avoid a histological overlap, affecting diagnosis and manag… Show more

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Cited by 3 publications
(3 citation statements)
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“…One recent review by Hamie et al found fewer than 10 cases of melanoma associated with OLGCs, and there are only 3 formerly published cases describing OLGCs in UM. 1,17,18 The expression of typical monocyte/macrophage markers in the absence of melanocytic markers implies a reactive response for OLGCs; at least 2 of the above cases, however, had OLGCs that were positive for HMB-45, Melan-A, and S100, evidence for tumor cell transformation. [17][18][19] In the case of our patient, the abundant OLGCs stained for CD163 but were negative for all other markers.…”
Section: Discussionmentioning
confidence: 99%
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“…One recent review by Hamie et al found fewer than 10 cases of melanoma associated with OLGCs, and there are only 3 formerly published cases describing OLGCs in UM. 1,17,18 The expression of typical monocyte/macrophage markers in the absence of melanocytic markers implies a reactive response for OLGCs; at least 2 of the above cases, however, had OLGCs that were positive for HMB-45, Melan-A, and S100, evidence for tumor cell transformation. [17][18][19] In the case of our patient, the abundant OLGCs stained for CD163 but were negative for all other markers.…”
Section: Discussionmentioning
confidence: 99%
“…1,17,18 The expression of typical monocyte/macrophage markers in the absence of melanocytic markers implies a reactive response for OLGCs; at least 2 of the above cases, however, had OLGCs that were positive for HMB-45, Melan-A, and S100, evidence for tumor cell transformation. [17][18][19] In the case of our patient, the abundant OLGCs stained for CD163 but were negative for all other markers. The reason for the occurrence of OLGCs in malignant melanoma, undifferentiated or otherwise, remains to be established.…”
Section: Discussionmentioning
confidence: 99%
“…Although the pathogenesis of GCT-ST remains uncertain, OGCs that recruit lesions by RANKL expression are considered to play an important role [ 7 ]. Several authors suggested that a chronic inflammatory condition may be associated with OGC proliferation [ 8 ].…”
Section: Discussionmentioning
confidence: 99%