Epithelioid sarcoma of the neck: case report

AbstractEpithelioid sarcoma is an aggressive, malignant tumour of the soft tissue which tends to arise in proximity to large tendons and aponeuroses. We report the case of a patient presenting with an epithelioid sarcoma arising in the neck. A 56-year-old man was referred with a three-year history of a sensory disorder as well as a slowly growing mass in his right neck. The patient underwent resection of the tumour by means of a conservative neck dissection. The final diagnosis, based on the histological and immunohistochemical findings, was epithelioid sarcoma. Radiotherapy was performed after the operation. The post-operative course was uneventful, and there was no local recurrence or distant metastasis.

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Paratesticular Leiomyosarcoma: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.2283 ◽

2013 ◽

Vol 52 (191) ◽

Author(s):

Vijaya Patil ◽

Ashish Verma ◽

Ravindra S. Pattar ◽

Sanjay Nandar

Keyword(s):

Case Report ◽

Local Recurrence ◽

Surgical Procedures ◽

Distant Metastasis ◽

Spermatic Cord ◽

High Ligation ◽

History Of ◽

Radical Orchiectomy

Paratesticularleiomyosarcomas are rare neoplasms. Radical orchidectomy and high ligation of cordfollowed by surveillance is the treatment of choice. Here we report a 73-year-old man who presentedwith a 2-year history of painless lump in the left hemiscrotum. A left radical orchiectomy with highligation of the spermatic cord was performed. The histo-pathological and immunohistochemistryevaluation revealed a moderately differentiated leiomyosarcoma of paratesticular region. Thepatient is still alive with no evidence of local recurrence and distant metastasis after seven years offollow-up._______________________________________________________________________________________Keywords: leiomyosarcoma; spermatic cord; paratesticular; surgical procedures.

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Giant Diaphragmatic Angiosarcoma of Adult: A Case Report and Review of Literature

Case Reports in Medicine ◽

10.1155/2012/950856 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Tao Ren ◽

Xue-qian Chen

Keyword(s):

Case Report ◽

Soft Tissue ◽

Local Recurrence ◽

Adult Patient ◽

Distant Metastasis ◽

Soft Tissue Tumor ◽

Review Of Literature ◽

Tissue Tumor ◽

Malignant Soft Tissue Tumor ◽

Malignant Soft Tissue

Angiosarcoma is a rare vascular malignant soft tissue tumor, with highly malignant, invasive, and multifocal characteristics of biology, which is prone to local recurrence and distant metastasis, so the prognosis is extremely poor. It rarely involves the diaphragm. We present the case of an adult patient who had a primary giant angiosarcoma of the left-sided diaphragm.

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Proximal-type epithelioid sarcoma - Case report

Anais Brasileiros de Dermatologia ◽

10.1590/abd1806-4841.20131922 ◽

2013 ◽

Vol 88 (3) ◽

pp. 444-447 ◽

Cited By ~ 7

Author(s):

Luciana Mendes dos Santos ◽

Lisiane Nogueira ◽

Christiane Yuri Matsuo ◽

Carolina Talhari ◽

Monica Santos

Keyword(s):

Young Adults ◽

Case Report ◽

Soft Tissue ◽

Soft Tissue Sarcoma ◽

Distant Metastasis ◽

Clinical Course ◽

Epithelioid Sarcoma ◽

Aggressive Clinical Course ◽

Middle Aged Adults ◽

Rhabdoid Features

Epithelioid sarcoma, first described by Enzinger in 1970, is a rare soft-tissue sarcoma typically presenting as a subcutaneous or deep dermal mass in distal portions of the extremities of adolescents and young adults. In 1997, Guillou et al. described a different type of epithelioid sarcoma, called proximal-type epithelioid sarcoma, which is found mostly in the pelvic and perineal regions and genital tracts of young to middle-aged adults. It is characterized by a proliferation of epithelioid-like cells with rhabdoid features and the absence of a granuloma-like pattern. In this paper we present a case of proximal-type epithelioid sarcoma with an aggressive clinical course, including distant metastasis and death nine months after diagnosis.

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Primary Epithelioid Sarcoma of the Neck: a Rare Case Report

Medicina ◽

10.3390/medicina48010008 ◽

2012 ◽

Vol 48 (1) ◽

pp. 8

Author(s):

Viktoras Rudžianskas ◽

Elona Juozaitytė ◽

Arturas Inčiūra ◽

Valdas ◽

Milda Rudžianskienė

Keyword(s):

Case Report ◽

Local Recurrence ◽

Distant Metastasis ◽

Poor Prognosis ◽

Rare Case ◽

External Beam Radiotherapy ◽

Epithelioid Sarcoma ◽

External Beam ◽

Rare Case Report

This report presents a case of a neck epithelioid sarcoma in a 20-year-old man with poor prognosis. The patient underwent surgery followed by external beam radiotherapy and brachytherapy performed as a boost. The treatment was well-tolerated, and there was no local recurrence or distant metastasis.

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EXTENSIVE CERVICAL NECROTISING FASCIITIS WITH MEDIASTINITIS IN A COVID-19 POSITIVE PATIENT: A CASE REPORT

10.7244/cmj.2020.11.003 ◽

2020 ◽

Author(s):

Natasha Faye Daniels ◽

Raiiq Ridwan

Keyword(s):

Case Report ◽

Soft Tissue ◽

Soft Tissue Infection ◽

Young Male ◽

Necrotising Fasciitis ◽

Neck Swelling ◽

Significant Morbidity ◽

Complex Interplay ◽

History Of ◽

Mediastinal Extension

Necrotising fasciitis is a rapidly progressing soft tissue infection associated with significant morbidity and mortality. We present a case of cervical necrotising fasciitis with mediastinal extension in a diabetic young male who was COVID-19 positive. He presented with a five-day history of left-sided neck swelling which was fluctuant, red and painful. Subsequent debridement and management of the wound were complicated by the comorbid SARS-CoV2 infection due to potential need for proning. This case highlights the complex interplay between the management of two significant conditions; the surgical approach to necrotising fasciitis and the concern of deterioration due to COVID-19.

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Calcific myonecrosis: diagnostic dilemma

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0077 ◽

2018 ◽

Vol 100 (6) ◽

pp. e158-e160

Author(s):

HE Matar ◽

P Stritch ◽

S Connolly ◽

N Emms

Keyword(s):

Magnetic Resonance Imaging ◽

Differential Diagnosis ◽

Magnetic Resonance ◽

Malignant Tumour ◽

Resonance Imaging ◽

Diagnostic Dilemma ◽

Benign Condition ◽

Calcific Myonecrosis ◽

History Of ◽

Growing Mass

Calcific myonecrosis is a rare benign condition affecting mainly the muscles of a single leg compartment. It is thought to follow a history of trauma with a latent period of years. Patients present with a slowly growing mass. Differential diagnosis from a malignant tumour can be made from the history and the distinctive radiographical features of a fusiform lesion with predominantly peripheral calcifications. Magnetic resonance imaging may be necessary to confirm the diagnosis; treatment is largely symptomatic.

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CHONDROSARCOMA OF THUMB METACARPAL — A CASE REPORT WITH LITERATURE REVIEW

Hand Surgery ◽

10.1142/s0218810401000576 ◽

2001 ◽

Vol 06 (01) ◽

pp. 81-87 ◽

Cited By ~ 4

Author(s):

G. Pathak ◽

W. B. Conolly ◽

S. W. McCarthy

Keyword(s):

Case Report ◽

Local Recurrence ◽

Literature Review ◽

Distant Metastasis ◽

Iliac Crest ◽

Functional Result ◽

The Other ◽

Iliac Crest Bone Grafting ◽

Ray Amputation ◽

Uncommon Neoplasm

Function preserving management of a dominant thumb metacarpal chondrosarcoma is reported, with a literature review for this uncommon neoplasm. Wide local excision of the metacarpal followed by temporary silicone block interposition and definitive iliac crest bone grafting was performed. A persistent wound defect was managed by a radial artery forearm flap. The functional result was acceptable. In the literature, there were seven cases of thumb metacarpal chondrosarcoma reported; two were treated by ray amputation, and the other five were treated by excision of the metacarpal. Three of those five had bone graft and the other two had simple resection. Of these seven cases, three had local recurrence and one a distant metastasis.

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A Clinicopathological Analysis of Soft Tissue Sarcoma with Telangiectatic Changes

Sarcoma ◽

10.1155/2015/740571 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Hiroshi Kobayashi ◽

Keisuke Ae ◽

Taisuke Tanizawa ◽

Tabu Gokita ◽

Noriko Motoi ◽

...

Keyword(s):

Soft Tissue ◽

Soft Tissue Sarcoma ◽

Tumor Size ◽

Epithelioid Sarcoma ◽

Needle Aspiration ◽

Nerve Sheath Tumor ◽

Subsequent Recovery ◽

Pleomorphic Sarcoma ◽

History Of ◽

Mri Characteristics

Background. Soft tissue sarcoma with a hemorrhagic component that cannot be easily diagnosed by needle biopsy is defined here as soft tissue sarcoma with telangiectatic changes (STST).Methods. We retrospectively reviewed clinicopathological data of STST from 14 out of 784 patients (prevalence: 1.8%) with soft tissue sarcoma.Results. Tumors were found mostly in the lower leg. Histological diagnoses were undifferentiated pleomorphic sarcoma (n=5), synovial sarcoma (n=5), epithelioid sarcoma (n=2), and malignant peripheral nerve sheath tumor and fibrosarcoma (n=1). No history of trauma to the tumor site was recorded in any patient. Needle aspiration transiently reduced the tumor volume, but subsequent recovery of tumor size was observed in all cases. Out of 14 patients, 9 presented with a painful mass. MRI characteristics included intratumoral nodules (64.3%). The local recurrence rate was 14.3%, and the 2-year event-free survival rate was poorer (50%) than that of most sarcomas.Conclusions. STST is unique in its clinicopathological presentation. Painful hematomas without a trauma history, intratumoral nodules within a large hemorrhagic component, and subsequent recovery of tumor size after aspiration are indicative of the presence of STST.

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