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Narukami E, Anayama T, Yamamoto M, Bunno Y, Miyazaki R, Okada H, Iguchi M. Rapidly developing intrathoracic low-grade fibromyxoid sarcoma: A case report. Thorac Cancer 2023; 14:2314-2319. [PMID: 37401119 PMCID: PMC10423656 DOI: 10.1111/1759-7714.15020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 06/13/2023] [Accepted: 06/15/2023] [Indexed: 07/05/2023] Open
Abstract
Low-grade fibromyxoid sarcoma (LGFMS) is a rare mesenchymal tumor that primarily arises in the limbs and trunk of young adults, and rarely in the thoracic cavity. An 84-year-old Japanese woman presented with a right intrathoracic mass which was 8 cm in size. CT-guided needle biopsy did not provide a definitive diagnosis. Perioperatively, a mass was found in the right lower lobe of the lung and was suspected to have invaded the chest wall at the sixth-eighth ribs. A right lower lobectomy and combined chest wall resection were performed. Microscopic examination revealed that the tumor was a low-grade spindle cell tumor originating from the pleura demonstrating focal invasion of the lung. The tumor exhibited positivity for MUC4, and FUS gene translocation was confirmed through fluorescence in situ hybridization. Unfortunately, 10 months postoperatively, tumor recurrence was noted as peritoneal dissemination, and the patient passed away 13 months postoperatively. Although LGFMS may be diagnosed histologically as a low-grade tumor by needle biopsy, in this case, it was highly malignant. Postoperative long-term regular medical follow-up is recommended considering the highly malignant nature of the tumor and the high risk of local recurrence and pulmonary metastasis.
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Affiliation(s)
- Eri Narukami
- Department of Thoracic SurgeryChikamori Health Care GroupKochiJapan
- Department of Thoracic Surgery, Kochi Medical School HospitalKochi UniversityNankokuJapan
| | - Takashi Anayama
- Department of Thoracic SurgeryChikamori Health Care GroupKochiJapan
- Department of Thoracic Surgery, Kochi Medical School HospitalKochi UniversityNankokuJapan
| | - Marino Yamamoto
- Department of Thoracic Surgery, Kochi Medical School HospitalKochi UniversityNankokuJapan
| | - Yujiro Bunno
- Department of Thoracic Surgery, Kochi Medical School HospitalKochi UniversityNankokuJapan
| | - Ryohei Miyazaki
- Department of Thoracic Surgery, Kochi Medical School HospitalKochi UniversityNankokuJapan
| | - Hironobu Okada
- Department of Thoracic Surgery, Kochi Medical School HospitalKochi UniversityNankokuJapan
| | - Mitsuko Iguchi
- Laboratory of Diagnostic Pathology, Kochi Medical School HospitalKochi UniversityNankokuJapan
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Nunes Pombo J, Nixon Martins A, Paias Gouveia C, Nawojowska Á, Mendes S, Cabral D, Félix F, Rosa B, Pinheiro C, Andrade M, Saenz Ribeiro G. Rare case of low-grade fibromyxoid sarcoma of the thoracic wall with complete sternum reconstruction. CASE REPORTS IN PLASTIC SURGERY AND HAND SURGERY 2022; 9:126-130. [PMID: 35601985 PMCID: PMC9116248 DOI: 10.1080/23320885.2022.2064290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- João Nunes Pombo
- Serviço de Cirurgia Plástica, CHULN – Hospital de Santa Maria, Lisbon, Portugal
| | - Artur Nixon Martins
- Serviço de Cirurgia Plástica, CHULN – Hospital de Santa Maria, Lisbon, Portugal
| | | | - Ágata Nawojowska
- Serviço de Cirurgia Torácica, CHULN – Hospital Pulido Valente, Lisbon, Portugal
| | - Samuel Mendes
- Serviço de Cirurgia Torácica, CHULN – Hospital Pulido Valente, Lisbon, Portugal
| | - Daniel Cabral
- Serviço de Cirurgia Torácica, CHULN – Hospital Pulido Valente, Lisbon, Portugal
| | - Francisco Félix
- Serviço de Cirurgia Torácica, CHULN – Hospital Pulido Valente, Lisbon, Portugal
| | - Bruno Rosa
- Serviço de Cirurgia Plástica, CHULN – Hospital de Santa Maria, Lisbon, Portugal
| | - Carlos Pinheiro
- Serviço de Cirurgia Plástica, CHULN – Hospital de Santa Maria, Lisbon, Portugal
| | - Miguel Andrade
- Serviço de Cirurgia Plástica, CHULN – Hospital de Santa Maria, Lisbon, Portugal
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Chan YC, Kan ANC, Yuen LYP, Wan IYP, Fung KKF, Cheung YF, Leung KKY, Ku DTL, Liu APY. Case Report: Primary Thoracic Low-Grade Fibromyxoid Sarcoma in a Young Girl Presenting With Mediastinal Mass Syndrome. Front Pediatr 2022; 10:885068. [PMID: 35783305 PMCID: PMC9247646 DOI: 10.3389/fped.2022.885068] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 05/31/2022] [Indexed: 11/16/2022] Open
Abstract
Low-grade fibromyxoid sarcomas (LGFMSs) are typically adult-onset tumors that arise from the extremities. Here, we report an exceptional case of primary thoracic LGFMS in an 8-year-old girl that resulted in mediastinal syndrome. In reporting this case, we discuss the clinical challenges, role of molecular profiling and review reported cases of pediatric thoracic LGFMSs.
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Affiliation(s)
- Yat Chi Chan
- LKS Faculty of Medicine, The University of Hong Kong, Kowloon, Hong Kong SAR, China
| | - Amanda N C Kan
- Department of Pathology, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR, China
| | - Liz Y P Yuen
- Division of Genetic and Genomic Pathology, Department of Pathology, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR, China
| | - Innes Y P Wan
- Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Kevin K F Fung
- Department of Radiology, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR, China
| | - Yiu-Fai Cheung
- Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR, China.,Department of Paediatrics and Adolescent Medicine, LKS Faculty of Medicine, The University of Hong Kong, Kowloon, Hong Kong SAR, China
| | - Karen K Y Leung
- Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR, China
| | - Dennis T L Ku
- Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR, China
| | - Anthony P Y Liu
- Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon, Hong Kong SAR, China.,Department of Paediatrics and Adolescent Medicine, LKS Faculty of Medicine, The University of Hong Kong, Kowloon, Hong Kong SAR, China
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Perez D, El-Zammar O, Cobanov B, Naous R. Low-grade fibromyxoid sarcoma: A rare case in an unusual location. SAGE Open Med Case Rep 2020; 8:2050313X20944315. [PMID: 32874586 PMCID: PMC7436804 DOI: 10.1177/2050313x20944315] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 06/29/2020] [Indexed: 11/17/2022] Open
Abstract
Low-grade fibromyxoid sarcoma, also known as Evans tumor, is a low-grade sarcoma that most commonly arises in the deep soft tissue of the proximal extremities or trunk in young adults. It is very rare in the viscera as a primary site, with only a few cases reported in the literature. Here, we present a case of Evans tumor occurring in an unusual and rarely reported location; an intrathoracic mass arising from the diaphragmatic pleura.
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Affiliation(s)
- Diandra Perez
- Department of Pathology, SUNY Upstate Medical University, Syracuse, NY, USA
| | - Ola El-Zammar
- Department of Pathology, SUNY Upstate Medical University, Syracuse, NY, USA
| | - Brando Cobanov
- Department of Pathology, SUNY Upstate Medical University, Syracuse, NY, USA
| | - Rana Naous
- Department of Pathology, SUNY Upstate Medical University, Syracuse, NY, USA
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Brasanac D, Dzelatovic NS, Stojanovic M. Giant cystic superficial low-grade fibromyxoid sarcoma. Ann Diagn Pathol 2013; 17:222-5. [PMID: 22136982 DOI: 10.1016/j.anndiagpath.2011.09.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2011] [Revised: 09/10/2011] [Accepted: 09/13/2011] [Indexed: 11/24/2022]
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Tominaga Y, Eguchi T, Shiina T, Hamanaka K, Amano J, Asaka S, Yoshida K. An intrathoracic low-grade fibromyxoid sarcoma arising from the chest wall with massive pleural effusion. Ann Thorac Cardiovasc Surg 2013; 20 Suppl:509-12. [PMID: 23518627 DOI: 10.5761/atcs.cr.12.02196] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
We herein report a case of an intrathoracic low-grade fibromyxoid sarcoma arising from the chest wall and associated with massive pleural effusion. A 70-year-old man presented with a persistent cough. A chest computed tomography scan revealed a large mass in the right pleural cavity with massive pleural effusion. No malignant cells were recognized in the pleural effusion by thoracentesis. A malignant soft tissue tumor was suspected, and surgery was performed. The tumor arose from the posterior chest wall and was resected with the connected chest wall. The definitive diagnosis was a low grade fibromyxoid sarcoma. Because the posterior margin of the chest wall was microscopically tumor positive, postoperative irradiation was performed. The patient has now been followed up for 30 months with no evidence of recurrence.
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Affiliation(s)
- Yoshiaki Tominaga
- Department of Thoracic Surgery, Shinshu University School of Medicine
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