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Updated: Dec 8 2013

[Blocked from Release] Differential Diagnosis by Histology

HISTOLOGY
Bone marrow aspiration and biospy required for diagnosis and staging

1. Lymphoma
2. Ewings

Small round cell tumor

1. Lymphoma
2. Leukemia
3. Ewing's sarcoma
4. Metastatic carcinoma (small cell lung) 
5. Rhabdomyosarcoma
6. Neuroblastoma

Epithelial Glands seen on histology

1. Synovial sarcoma (biphasic)
2. Metastatic carcinoma
3. Glomus tumor

Bimorphic histology

1. Dedifferentiated chondrosarcoma
2. Synovial sarcoma
3. Osteosarcoma with chondroblastic features 

Multi-nucleated Giant cells present

1. Giant cell tumor
2. Chondroblastoma
3. Aneurysmal bone cyst

Hemosiderin pigmentation

1. NOF
2. PVNS
3. UBC

IMMUNOSTAINS
Leukocyte common antigen 1. Lymphoma
CD138 1. Myeloma
CD99 1. Ewing's
CD1A 1. EG
CD34 1. DFSP
2. Angiosarcoma
CD20 (B cell) 1. Lymphoma
S100

1. EG
2. Chordoma
3. Melanoma 
4. Clear cell sarcoma
5. Nerve sheath tumors (Schwanoma) 

Elastin 1. Elastofibroma
Keratin 1. Metastatic bone disease
2. Synovial sarcoma
3. Chordoma
4. Epitheloid sarcoma
5. Adamantinoma
Factor VIII 1. Angiosarcoma
Smooth muscle actin 1. Leiomyosarcoma
Desmin 1. Rhabdomyosarcoma
Myoglobin 1. Rhabdomyosarcoma
CK7 1. Breast CA
2. Lung CA
CK125 1. Ovarian CA
CK20 1. Colon CA
TTF1 1. Lung CA
EMA 1. Synovial sarcoma
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