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Aggressive Indeterminate Dendritic Cell Tumor Mimicking Scalp Angiosarcoma.

Yun Li¹, Ting-Ting Wang¹, Zi-Hui Zhang¹

¹Department of Dermatology, Sichuan University West China Hospital, Chengdu, China.

Annals of Dermatology

|October 3, 2017

Summary

Indeterminate dendritic cell tumor (IDCT) is a rare histiocytic proliferation. This case highlights diagnostic challenges and poor prognosis in an elderly patient with aggressive IDCT mimicking angiosarcoma.

Keywords:

Hemangiosarcoma Indeterminate dendritic cell tumor

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Area of Science:

Dermatopathology
Histiocytic Neoplasms
Oncology

Background:

Indeterminate dendritic cell tumor (IDCT) is characterized by CD1a+, S100+, and langerin- histiocytes.
IDCT typically follows a benign clinical course.

Observation:

A 90-year-old male presented with scalp skin lesions and lymphadenopathy.
The clinical presentation mimicked angiosarcoma.
Despite radiotherapy, the patient's condition rapidly progressed, leading to death within six months.

Findings:

Pathological examination excluded scalp angiosarcoma.
The tumor exhibited a high Ki-67 proliferation index.
Histiocytic proliferation consistent with IDCT was identified.

Implications:

This case underscores the potential for aggressive behavior in IDCT, challenging its generally benign classification.
The diagnostic difficulty presented by the angiosarcoma-like presentation highlights the importance of thorough histopathological evaluation.
The rapid progression and poor outcome emphasize the need for further research into treatment strategies for aggressive IDCT.