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Uncommon granulomatous manifestation in Epstein-Barr virus–positive follicular dendritic cell sarcoma: a case report
Henry Goh Di Shen, Yue Zhang, Wei Qiang Leow
J Pathol Transl Med. 2025;59(2):133-138.   Published online October 31, 2024
DOI: https://doi.org/10.4132/jptm.2024.09.27
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  • 6 Web of Science
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AbstractAbstract PDF
Hepatic Epstein-Barr virus–positive inflammatory follicular dendritic cell sarcoma (EBV+ IFDCS) represents a rare form of liver malignancy. The absence of distinct clinical and radiological characteristics, compounded by its rare occurrence, contributes to a challenging diagnosis. Here, we report a case of a 54-year-old Chinese female with a background of chronic hepatitis B virus treated with entecavir and complicated by advanced fibrosis presenting with a liver mass found on her annual surveillance ultrasound. Hepatectomy was performed under clinical suspicion of hepatocellular carcinoma. Immunomorphologic characteristics of the tumor were consistent with EBV+ IFDCS with distinct non-caseating granulomatous inflammation. Our case illustrates the importance of considering EBV+ IFDCS in the differential diagnosis of hepatic inflammatory lesions. Awareness of this entity and its characteristic features is essential for accurately diagnosing and managing this rare neoplasm.

Citations

Citations to this article as recorded by  
  • Mesenchymal Tumors of the Liver: An Update Review
    Joon Hyuk Choi, Swan N. Thung
    Biomedicines.2025; 13(2): 479.     CrossRef
  • EBV-positive inflammatory follicular dendritic cell sarcoma occurring in different organs: a case report and literature review
    Wenhua Bai, Chunfang Hu, Zheng Zhu
    Frontiers in Oncology.2025;[Epub]     CrossRef
  • Spleen EBV-positive inflammatory follicular dendritic cell sarcoma: a case report and literature review
    Yi Xiao, Lanlan Li, Xiumei Zhan, Juner Xu, Yewu Chen, Qiuchan Zhao, Yinghao Fu, Xian Luo, Huadi Chen, Hao Xu
    Frontiers in Oncology.2025;[Epub]     CrossRef
  • Epstein-Barr virus-positive inflammatory follicular dendritic cell sarcoma of the liver: clinical features, imaging findings and potential diagnostic clues
    Gui-Ling Huang, Man-Qian Huang, Yu-Ting Zhang, Hui-Ning Huang, Hong-Tao Liu, Xiao-Qing Pei
    Abdominal Radiology.2025;[Epub]     CrossRef
  • Epstein‑Barr virus+ inflammatory follicular dendritic cell sarcoma with clonal immunoglobulin heavy chain gene rearrangement: A case report and literature review
    Qian Ye, Juan Zhao, Jiao He, Weishan Zhang
    Oncology Letters.2025; 31(2): 1.     CrossRef
  • Primary hepatic follicular dendritic cell sarcoma: A case study and literature review
    Junjie Zhu, Ying Liang, Li Zhang, Bingqi Li, Danfeng Zheng, Hangyan Wang
    Journal of International Medical Research.2025;[Epub]     CrossRef

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