Monophasic synovial sarcoma of spindle-cell type. Epithelial differentiation as revealed by ultrastructural features, content of prekeratin and binding of peanut agglutinin

Virchows Arch B Cell Pathol Incl Mol Pathol. 1983;44(2):187-99. doi: 10.1007/BF02890169.

Abstract

Monophasic synovial sarcomas of spindle-cell type and fibrosarcomas were studied by electron and immunofluorescence microscopy for their intermediate filament expression and the binding of peanut agglutinin (PNA). In monophasic synovial sarcomas of spindle-cell type (two cases), frequent cell-to-cell junctions, irregular cytoplasmic processes, and occasional cytoplasmic, tonofilament-like bundles of intermediate filaments were seen by electron microscopy. These features were absent from fibrosarcomas. Immunohistologically, the monophasic synovial sarcomas showed arrays of prekeratin-positive cells in the midst of the vimentin-positive spindle cells. By double fluorescence microscopy, the prekeratin-positive cells also bound PNA, like the epithelial-like cells of the classical biphasic synovial sarcoma. In contrast to monophasic synovial sarcomas, prekeratin-positive cells and arrays of PNA-binding cells, were not seen by immunofluorescence microscopy in fibrosarcomas (seven cases). Thus the prekeratin-content, the binding of PNA lectin, and certain ultrastructural features suggesting early epithelial differentiation, help to distinguish monophasic synovial sarcomas of spindle-cell type from other spindle cell sarcomas.

Publication types

  • Case Reports
  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Binding Sites
  • Cytoskeleton / ultrastructure
  • Elbow Joint*
  • Female
  • Fibrosarcoma / analysis
  • Fibrosarcoma / ultrastructure
  • Finger Joint*
  • Histocytochemistry
  • Humans
  • Intermediate Filament Proteins / analysis
  • Joint Diseases / pathology*
  • Keratins / analysis*
  • Lectins / analysis*
  • Male
  • Microscopy, Electron
  • Protein Precursors / analysis*
  • Sarcoma, Synovial / analysis
  • Sarcoma, Synovial / ultrastructure*
  • Vimentin

Substances

  • Intermediate Filament Proteins
  • Lectins
  • Protein Precursors
  • Vimentin
  • prekeratin
  • Keratins