- Discussion:
- small, round, neoplastic cells w/ large oval hyperchromatic nuclei;
- vague indistinct (scant) cytoplasm & cytoplasmic membrane;
- cells are usually spread out in thick sheets;
- mitoses are common, and pseudorosette patterns are typical.
- high cellularity, little intracellular stroma;
- special stains:
- PAS positive (due to staining of glycogen granules in the cytoplasm);
- reticulum stain negative;
- stains for S-100 protein
- stains against neuron-specific enolase expression;
- MIC-2 is a highly sensitive and specific marker for this family of tumors;
- cytokeratin is an epithelial marker (should be negative)
- vimentin is a mesenchymal marker (positive);
- diff dx:
- reticulum cell sarcoma;
- neuroblastoma;
- non-Hodgkin's lymphoma;
- rhabdomyosarcoma



