Gastrointestinal stromal tumor of the stomach with rhabdoid phenotype: immunohistochemical, ultrastructural, and immunoelectron microscopic evaluation

Ultrastruct Pathol. 2004 May-Jun;28(3):165-70. doi: 10.1080/01913120490475707.

Abstract

A variety of neoplasms with rhabdoid differentiation have been reported in many sites. The authors describe a case of gastrointestinal stromal tumor (GIST) of the stomach that exhibited prominent rhabdoid features. Immunohistochemically, the tumor cells displayed positive staining for vimentin, c-kit, CD34, and alpha smooth muscle actin. Ultrastructural examination of the rhabdoid tumor cells revealed paranuclear whorls of intermediate filaments, which were immunoreactive for vimentin by both light microscopic immunohistochemical and protein A gold immunoelectron microscopic techniques. On H&E light microscopic examination alone, such a tumor could be mistaken for a variety of epithelial, mesenchymal, or other neoplasms that may show rhabdoid features. One report of GIST with a rhabdoid histologic phenotype has been described. This is the second known report of such a case with immunophenotypic and ultrastructural evaluation, and the first case with immunoelectron microscopic examination.

Publication types

  • Case Reports

MeSH terms

  • Actins / analysis
  • Aged
  • Antigens, CD34 / analysis
  • Biomarkers, Tumor / analysis
  • Fatal Outcome
  • Gastrectomy
  • Gastrointestinal Stromal Tumors / chemistry
  • Gastrointestinal Stromal Tumors / pathology*
  • Gastrointestinal Stromal Tumors / surgery
  • Humans
  • Immunohistochemistry
  • Inclusion Bodies / ultrastructure
  • Male
  • Microscopy, Electron, Transmission
  • Phenotype
  • Proto-Oncogene Proteins c-kit / analysis
  • Rhabdoid Tumor / chemistry
  • Rhabdoid Tumor / pathology*
  • Rhabdoid Tumor / surgery
  • Stomach Neoplasms / chemistry
  • Stomach Neoplasms / pathology*
  • Stomach Neoplasms / surgery
  • Vimentin / analysis

Substances

  • Actins
  • Antigens, CD34
  • Biomarkers, Tumor
  • Vimentin
  • Proto-Oncogene Proteins c-kit