Turkish Journal of Pathology

Türk Patoloji Dergisi

Turkish Journal of Pathology

Turkish Journal of Pathology

2017, Vol 33, Num, 3     (Pages: 223-227)

The Role of CD34 and D2-40 in the Differentiation of Dermatofibroma and Dermatofibrosarcoma Protuberans

Canan SADULLAHOĞLU 1, Yelda DERE 2, Türkan REZANKO ATASEVER 3, Mine TUNAKAN ÖZTOP 3, Önder KARAASLAN 4

1 Department of Pathology, Antalya Training and Research Hospital, Antalya, Turkey
2 Mugla Sıtkı Koçman University Faculty of Medicine, Mugla, Turkey
3 Izmir Ataturk Training and Research Hospital, Izmir, Turkey
4 Department of Plastic and Reconstructive Surgery, Izmir Ataturk Training and Research Hospital, Izmir, Turkey

DOI: 10.5146/tjpath.2017.01402
Viewed: 3077
 - 
Downloaded : 3969

Objective: Dermatofibroma (DF) is a benign fibrohistiocytic tumor whereas dermatofibrosarcoma protuberans (DFSP) has intermediate malignant potential. CD34 is the most commonly used antibody in differentiating these tumors. Various studies have stated the rates of D2-40 expression as 0-50% in DFSPs and 86-100% in DFs. Our aim in this study was to determine the expression of CD34 and D2-40 in DFs and DFSPs and the possible use of D2-40 in the differential diagnosis of these lesions.

Material and Method: This is a retrospective study including 30 DF and 15 DFSP cases which were reevaluated for epidermal changes, the presence of a transmission zone (Grenz zone), infiltration of soft tissues, infiltration pattern and histologic subtypes in addition to cellular pleomorphism, nuclear atypia, and necrosis. A manual immunohistochemistry procedure was performed with D2-40 and CD 34 antibodies using a representative paraffin block.

Results: The average age was 37.36 and 42.86 years in the DF and DFSP cases. The average diameter was 0.9 and 5.03 cm, respectively, for the DFs and DFSPs. There was a significant correlation between the two entities for sex, localization and diameter of the lesion. A significant difference was found between the positivity of CD34 and D2-40 in DFs and DFSPs.

Conclusion: Additional immunohistochemical markers may be needed in DFs with CD34 positivity. Our results showed the additional helpful role of this marker in problematic cases.

Keywords : Dermatofibroma, Dermatofibrosarcoma protuberans, CD34, D2-40, Podoplanin