Evidence map›Paper›PMID 42043516›Full record

ArticleVirchows Archiv : an international journal of pathology2026

Distinct subgroups of follicular dendritic cell sarcoma: insights from clinical, histologic and immunophenotypic characterization.

Hsin-Ni Li, Ren Ching Wang, Chuan-Han Chen, Jun-Peng Chen, Chiann-Yi Hsu, Chang-Tsu Yuan, Yi-Hsiang Liu, Chiu-Hsuan Cheng, Yung-Fang Chia, Yun-Chih Jung and 1 more

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Article in Virchows Archiv : an international journal of pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Hsin-Ni LiDepartment of Pathology and Laboratory Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Ren Ching WangDepartment of Pathology, China Medical University Hospital, Taichung, Taiwan.
Chuan-Han ChenDepartment of Medical Imaging, Taichung Veterans General Hospital, Taichung, Taiwan.
Jun-Peng ChenBiostatistics Group, Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Chiann-Yi HsuBiostatistics Group, Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Chang-Tsu YuanDepartment and Graduate Institute of Pathology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Yi-Hsiang LiuDepartment of Pathology, Chang Bing Show-Chwan Memorial Hospital, Changhua County, Taiwan.
Chiu-Hsuan ChengDepartment of Anatomic Pathology, Hualien Tzu Chi Hospital and Tzu Chi University, Hualien County, Taiwan.
Yung-Fang ChiaDepartment of Pathology, Miaoli General Hospital, Ministry of Health and Welfare, Miaoli County, Taiwan.
Yun-Chih JungDepartment of Pathology, Sin-Lau Christian Hospital, Tainan, Taiwan.
Shih-Sung ChuangDepartment of Pathology, Chi-Mei Medical Center, 901 Chung-Hwa Road, Yong-Kang District, Tainan, 71004, Taiwan. cmh5301@mail.chimei.org.tw.ORCID http://orcid.org/0000-0003-3971-525X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Follicular dendritic cell sarcoma (FDCS) is a rare neoplasm with morphologic and phenotypic features resembling those of normal follicular dendritic cells (FDCs). FDCS has been classified into two distinct entities based on their association with Epstein-Barr Virus (EBV): classic FDCS (cFDCS) and EBV-positive inflammatory FDCS (EBV + IFDCS). Diagnosis relies on characteristic histopathology and immunohistochemistry using FDC markers and EBV in situ hybridization (EBER). This study aimed to compare the clinical presentations, histologic features, and immunoprofiles between these two entities in a Taiwanese cohort. We retrospectively reviewed histological features of in-house and consultation cases of FDCS. Immunohistochemistry with novel markers including serglycin (SRGN), FDC-secreted protein (FDCSP) was applied, together with conventional FDC markers (CD21, CD23, CD35) and EBER. Programmed death ligand-1 (PD-L1), a potential therapeutic marker, was additionally evaluated and scored. Clinical and histological parameters, inflammatory cell infiltration, mitotic rate, and PD-L1 tumor proportion score (TPS) were compared statistically. We identified 30 patients including 16 cFDCS and 14 EBV + IFDCS. The median age was 56 years old (range, 22-80), with a female preponderance in EBV + IFDCS. EBV + IFDCS occurred exclusively in extra-nodal sites, while cFDCS more commonly involved lymph nodes. EBV + IFDCS showed significantly higher PD-L1 TPS (p = 0.012), more prominent inflammatory cell infiltration (90.0% vs. 12.5%, p < 0.001) in the presence of germinal centers (50% vs. 6%, p = 0.012), and lower mitotic activity (0.5 vs. 2.5/10 HPFs, p = 0.002). We identified distinct clinical and histologic features, as well as differential PD-Ll expression between cFDCS and EBV + IFDCS, supporting their classification as separate entities. Further molecular studies are needed to investigate their pathogenesis.

Indexed as

Classic follicular dendritic cell sarcomaEBVEBV-positive inflammatory follicular dendritic cell sarcomaFollicular dendritic cellFollicular dendritic cell sarcomaInflammatory pseudotumor-like follicular dendritic cell sarcoma

Identifiers

PMID42043516

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.