intimal sarcoma
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Clinical- obstruction of affecte vessel
- tumor emboli to peripheral organs
- site: pulmonary trunk (80%), pulmonary artery (60%), aorta
- mean age: 48 (lung), 62 (aorta)
Histology- intraluminal growth
- spindle cells, atypia, mitosis, necrosis
Stains- positive: vimentin, osteopontin
- variable: SMA
- negative: CD31, CD34, FVIII, but positive if has angiosarcoma differentiation
Molecular
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