scholarly journals Extraskeletal Mesenchymal Chondrosarcoma

2018 ◽  
Vol 142 (11) ◽  
pp. 1421-1424 ◽  
Author(s):  
Komal Arora ◽  
Nicole D. Riddle

Extraskeletal mesenchymal chondrosarcoma is a rare soft tissue sarcoma arising from soft tissues, mainly of the lower extremities, meninges, and orbits. It usually presents during the second to third decades of life, and has a slight predominance in females. Histologically, it has a typical biphasic pattern comprising small cells and islands of hyaline cartilage. It can pose a diagnostic challenge in small biopsy specimens where 1 of the 2 components can be absent. The prognosis is extremely variable; survival varies depending on the location of the tumor.

2018 ◽  
Vol 46 (6) ◽  
pp. 553-555
Author(s):  
Debasis Gochhait ◽  
Priyadarshini Dehuri ◽  
Vidhyalakshmi Rangarajan ◽  
GangaBhavani Kundeti ◽  
Bhawana Badhe ◽  
...  

2021 ◽  
Vol 94 (1117) ◽  
pp. 20200790
Author(s):  
Catriona Reid ◽  
Asif Saifuddin

Objectives: To determine the differential diagnosis of musculoskeletal soft tissue masses in children referred to a specialist musculoskeletal oncology unit. Methods: All children (0–18 y) referred to a specialist musculoskeletal oncology unit over a 20-month period (September 2018–May 2020) were retrospectively reviewed. Demographic data and referral diagnoses were obtained from the electronic patient notes. MRI findings and histopathological results were recorded. The comparison of non-neoplastic, benign neoplastic and malignant diagnoses at the point of referral and final diagnosis was determined. Results: 116 patients were included, 60 (51.7%) males and 56 (48.3%) females with mean age of 10.6 years (3 months–18 years). 69 (59.5%) patients were referred with a suspected sarcoma, 29 (25.0%) with a suspected benign tumour and 18 (15.5%) with a non-neoplastic lesion. A diagnosis was achieved by histological assessment in 61 (52.6%) cases, microbiological assessment in 3 (2.6%) or clinical and imaging assessment in 52 (44.8%). 67 (57.8%) cases had non-neoplastic pathology, 39 (33.6%) a benign tumour, 4 (3.4%) an intermediate-grade tumour, 6 (5.2%) a malignant tumour. Conclusions: Although over half of children referred to a specialist musculoskeletal oncology unit were suspected of having a soft tissue sarcoma at referral, only 5.2% were diagnosed with a malignant tumour. Advances in knowledge: Approximately, 6 of 69 (8.7%) children referred to a specialist musculoskeletal oncology unit with a suspected soft tissue sarcoma will have a malignant lesion. Most paediatric soft tissue masses are non-neoplastic, the commonest diagnosis being a vascular malformation.


2015 ◽  
Author(s):  
◽  
Henry P. Tsai

Archosaurs (crocodylians, birds and their extinct relatives) underwent numerous evolutionary transitions in limb morphology and body size, reflecting a diverse suite of postural and behavioral adaptations. Among archosaurs, saurischians (sauropodomorph and theropod dinosaurs) evolved a wide diversity of hip joint morphology and locomotor postures, as well as spanning seven orders of magnitude in body size. The very largest saurischians possessed incongruent hip joints, in which the bony ends of the femur and the acetabulum (hip socket) differ in shape and size. This observation has led to the suggestion that gigantic saurischians built their joints using large volumes of soft tissues. Nevertheless, the lack of hip joint anatomical data in extant archosaurs and the general poor preservation of joint soft tissues in fossils hinder functional inferences of archosaur hip joints, thus complicating our attempts to understand the posture, locomotor behavior, ecology, and evolution of this diverse clade. This thesis investigates the anatomy and homology of articular soft tissue in the archosaur hip joint, reconstructs the evolutionary transition of hip joints in Saurischia, and infers the correlated evolution of hip joints and body size in the sauropod and theropod lineages. In the first study, I described the soft tissue anatomies and their osteological correlates in the hip joint of archosaurs and their sauropsid outgroups, and infer structural homology across extant sauropsids using dissection, imaging, and histology. This study provides new insight into soft tissue structures and their osteological correlates in the archosaur hip joint, allowing anatomical inferences of once-present joint soft tissues in fossil archosaurs. In the second study, I used maximum likelihood ancestral state reconstruction and osteological correlates to infer major trends in hip joint soft tissue transitions within sauropodomorphs and theropods, and tested the integration between femoral and acetabular structures. Results of this study indicate that sauropodomorph hip joints underwent few concerted transitions, followed by subsequent stasis in soft tissue anatomy throughout Sauropoda. In contrast, the theropod hip joint is characterized by mosaic evolution within the stem lineage, such that bird-like hip joints independently evolved in multiple theropod clades. In the final study, I used 3D imaging techniques and phylogenetically correlated correlations to test the relationship among hip joint dimensions, morphological characters, and body size of saurischian dinosaurs. Giant theropods and sauropods convergently evolved highly incongruent bony hip joints. In sauropods, the femoral head was capped a thick layer of hyaline cartilage, which functioned to resist massive axial compressive loads. In contrast, theropods covered their femoral head and neck with thinner hyaline cartilage, and maintained the femoral neck-antitrochanter articulation to accommodate shear forces during femoral abduction and axial rotation. These results indicate that the archosaur hip joint underwent divergent transformations in soft tissue morphology reflective of body size, locomotor posture, and joint loading. Moreover, these studies provides the basis for reconstructing hip joint function, hindlimb posture, and locomotor evolution of archosaurs, as well as expanding the body of comparative knowledge on vertebrate joint and cartilage biology.


2022 ◽  
Vol 15 (1) ◽  
pp. e246375
Author(s):  
Himanshu Pruthi ◽  
Harish Bhujade ◽  
Reetu Kundu ◽  
Srinivasa GY

Mesenchymal chondrosarcoma (MC) is a rare cartilaginous tumour that occurs in the extraskeletal locations in about one-third of cases. It is aggressive in behaviour and may involve the lower extremities, central nervous system or spine. Mesenchymal tumours are known for distant metastasis; however, metastasis to bilateral kidneys after treatment has not been reported earlier. We present a case of a soft-tissue intramuscular MC of the thigh in a 38-year-old patient which had been surgically excised after neoadjuvant chemotherapy. The patient presented with bilateral dense calcified renal masses after 6 years, which were cytologically proven as MC metastases. In the evaluation of bilateral calcified renal masses in patients with a history of MC, metastasis should be considered.


Author(s):  
Alessandro Gronchi ◽  
Angelo P. Dei Tos ◽  
Paolo G. Casali

Sarcomas are rare tumours that can arise from bone or a variety of soft tissues in a variety of body sites. Surgery is the treatment mainstay for localized disease. Margins of resection are contingent on accurate histologic diagnosis. Adjuvant chemotherapy is routinely employed in osteosarcoma and Ewing Sarcomas, while it is used only on an individualized basis in high-risk soft tissue sarcoma. Isolated lung metastases from either bone or soft tissue sarcoma are primarily treated by surgery, especially if the disease-free interval is long and the number limited. Otherwise chemotherapy is the first-line therapy and subsequent treatments are decided according to response and disease evolution. Treatment planning should include multidisciplinary consultation to determine optimal therapy, taking into consideration tumour histology, site, and extent of the disease, its natural history and sensitivity to available treatments, surgical challenges and, of course, quality of life.


2016 ◽  
pp. 844-866 ◽  
Author(s):  
Alessandro Gronchi ◽  
Angelo P. Dei Tos ◽  
Paolo G. Casali

Sarcomas are rare tumours that can arise from bone or a variety of soft tissues in a variety of body sites. Surgery is the treatment mainstay for localized disease. Margins of resection are contingent on accurate histologic diagnosis. Adjuvant chemotherapy is routinely employed in osteosarcoma and Ewing Sarcomas, while it is used only on an individualized basis in high-risk soft tissue sarcoma. Isolated lung metastases from either bone or soft tissue sarcoma are primarily treated by surgery, especially if the disease-free interval is long and the number limited. Otherwise chemotherapy is the first-line therapy and subsequent treatments are decided according to response and disease evolution. Treatment planning should include multidisciplinary consultation to determine optimal therapy, taking into consideration tumour histology, site, and extent of the disease, its natural history and sensitivity to available treatments, surgical challenges and, of course, quality of life.


Author(s):  
Sandhya Devi Pasupathy ◽  
Archana Lakshmanan ◽  
S Annapurneswari

Pulmonary Adenofibroma (PAF) is a rare soft tissue tumour of the lung. It is a benign lesion, having a biphasic pattern with an admixture of epithelial and stromal components and has resemblance to fibroadenoma of the breast and adenofibroma of the female genital tract. The diagnosis can be challenging and it has to be delineated from other entities with biphasic pattern, like pulmonary hamartoma, pulmonary blastoma, intrapulmonary solitary fibrous tumour and metastases from soft tissue and visceral sarcomas, as each tumour has its own therapeutic and prognostic implications. Here, we report a case of a 73-year-old male, a known case of recurrent soft tissue sarcoma of the thigh, who presented with solitary pulmonary lesion. The patient was a non-smoker and did not have any specific respiratory complaints. On staging work-up with a Positron Emission Tomography and Computed Tomography (PET-CT), a hypermetabolic lesion was identified in the anterior segment of right upper lobe of the lung, following which he underwent right lobectomy. The tumour was a solitary lesion located near the hilum and on histology showed a biphasic pattern with scattered glandular spaces lined by columnar epithelium set in a hyalinised spindle cell stroma. The cells showed mild pleomorphism with oval to elongated nuclei and indistinct cytoplasm. On immunohistochemistry, the epithelial component showed positivity for Cytokeratin (CK), Epithelial Membrane Antigen (EMA), Thyroid Transcription Factor-1 (TTF-1) and Napsin-A and the stromal component showed positivity for Vimentin, Desmin, Smooth Muscle Actin (SMA) and H-Caldesmon (High molecular weight isoform-Caldesmon). With the given histological and immunohistochemistry findings, a diagnosis of PAF was rendered.


2020 ◽  
Vol 6 ◽  
pp. 2513826X2090350
Author(s):  
Matthew A. Strode ◽  
Robert F. Lohman ◽  
Kilian E. Salerno ◽  
John M. Kane

The potentially curative treatment for soft tissue sarcomas is wide resection. When located on the scalp, this can require removal of significant volumes of adjacent soft tissues as well as the skull periosteum. Consequently, reconstruction of the surgical defect is challenging. For patients receiving preoperative radiation or chemotherapy, gradual tissue expansion through the placement of a preoperative tissue expander can allow for primary closure of the wide resection defect, typically with hair-bearing scalp.


Biomedicine ◽  
2020 ◽  
Vol 40 (3) ◽  
pp. 405-408
Author(s):  
Bhat Shubha P. ◽  
Singh Vartika ◽  
Srinivas Teerthanath ◽  
Shetty Siddharth M. ◽  
Hosapatna Laxminarayana Kishan Prasad ◽  
...  

Pigmented villonodular synovitis (PVNS) is a rare benign neoplasm involving the synovial joints and tendon sheaths. It can be classified into localised and diffuse type. The diffuse type of PVNS is larger and very aggressive, clinically mimicking as soft tissue sarcoma. Radiological investigation can aid in knowing the relation of the mass to the joint cavity and invasion of surrounding structures. A biopsy can pose a diagnostic challenge for  pathologists. Surgical excision is the treatment of choice. Histopathological examination is necessary for a definite diagnosis. Keywords: Pigmented villonodular synovitis; diffuse; soft tissue sarcoma; histopathology.


2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Afaque Ali ◽  
Sara Rehman ◽  
Kashif Siddique

Introduction: Extraskeletal mesenchymal chondrosarcoma (ESMC) is rare, aggressive, and high grade malignant tumors originating from soft tissues. It carries a poor prognosis with a tendency for local recurrence and distant metastasis, necessitating long-term follow-up. The most common sites for metastasis are the lungs, bones, and lymph nodes. Meanwhile, pancreatic metastases are extremely rare. Case Description: A 35-year-old female presented with a history of wide local excision for the left upper limb mass; histopathology showed ESMC. She was on surveillance with a computed tomography scan of the thorax and magnetic resonance imaging of the left upper limb at 3-months intervals until she developed vertebral and pancreatic lesions after 6 months post-surgery. No pulmonary metastases were noted. Considering the unusual site for metastasis and to exclude the possibility of any second malignancy, bone biopsy, and endoscopic ultrasound-guided fine-needle aspiration was performed that confirmed metastases. Later she developed osseous metastases in the pelvis and femora. Practical Implication: Pancreatic metastasis from ESMC is extremely rare. In case of new visceral or osseous lesions in a patient with a past medical history of ESMC, the possibility of metastatic disease should be considered. A biopsy can be performed to confirm the diagnosis.


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