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T P, Stephen N, A P, Gochhait D, Bh S, Siddaraju N, Raj JV. Cutaneous metastasis in a case of Wilm's tumor diagnosed on cytology - A rare case report. Diagn Cytopathol 2020; 49:E190-E194. [PMID: 33206463 DOI: 10.1002/dc.24666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Revised: 10/09/2020] [Accepted: 11/05/2020] [Indexed: 11/11/2022]
Abstract
A 12-year-old male child presented with complaints of a slow growing swelling in the right parasternal region noticed since one month. On examination, the lump was 2 × 2 cm firm, mobile nontender located in the subcutaneous plane which was also confirmed radiologically. Fine needle aspiration cytology was attempted showed small to medium sized monotonous round cell morphology, nuclear molding and mitotic figures were frequent. Few cells exhibiting rosettoid arrangement. No definite epithelial or mesenchymal component was evident. No glio-fibrillary matrix or lymphoglandular bodies were evident in the smears. Based on morphology, a small round cell tumor was considered with possibilities of Wilm's tumor and Ewing's family of tumor. Based on morphological differentials ICC was requested, tumor cells were positive for strong nuclear WT1 staining while CK and FLI1 were negative. The cytomorphology along with the ICC confirmed the diagnosis of metastatic wilm's tumor. Seven years back, patient had a history of nephrectomy, which on histopathology was reported as triphasic Wilms tumor with favorable histology. Generally Wilm's tumor recurs within 2 years of diagnosis. Late recurrence in Wilm's tumor is rare with only a handful of case reports. Common sites for metastasis include lung, liver, contralateral kidney. Cutaneous metastasis is very uncommon, early detection of which with helps in therapeutic and prognostic decisions. The interesting aspect of this article is cytological detection of cutaneous metastasis of late recurrence Wilm's tumor, which is extremely rare to occur.
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Affiliation(s)
| | | | - Pradeep A
- Pathology, JIPMER, Puducherry, India
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La Verde N, Moretti A, Farina G, Dazzani MC, Gamucci T, Borgonovo K, Botta M, Salesi N, Zuradelli M, Pavese I, Barbieri E, Cretella E, Saladino T, Varese P, Traverso ES, Addamo G, Ciccarese M, Rispoli AI, Pellegrino A, Mentuccia L, Girelli S, Piva S, Maio MD. Eribulin in cutaneous breast cancer metastasis treatment: clinical activity and symptom control. Future Oncol 2013; 9:1841-8. [DOI: 10.2217/fon.13.216] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: This observational study evaluated the behavior and outcome of cutaneous breast cancer metastasis treated with eribulin. Patients & methods: From November 2012 to January 2013, oncologists completed a database with patient, tumor and treatment characteristics from 14 Italian cancer centers. Skin lesions were assessed by Response Evaluation Criteria In Solid Tumors and cutaneous symptoms by present/absent criteria. Results: A total of 23 metastatic breast cancer patients with skin metastasis who were treated with eribulin were analyzed. After treatment, 43% of patients exhibited a partial response, 35% stable disease and 22% progressive disease. Regarding only the skin response, 26% obtained a complete response, 22% a partial response, 39% stable disease and 13% progressive disease. We found an improvement in symptoms, infiltration and ulceration. With a median follow-up of 6 months, median progression-free survival was 4.3 months and median overall survival was 9.1 months. Conclusion: The response rate of skin metastasis to eribulin treatment was coherent with systemic responses. The good clinical response in most patients reflected symptom improvement.
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Affiliation(s)
- Nicla La Verde
- Department of Oncology, AO Fatebenefratelli e Oftalmico, Corso di Porta Nuova, 23, Milan, Italy
| | - Anna Moretti
- Department of Oncology, AO Fatebenefratelli e Oftalmico, Corso di Porta Nuova, 23, Milan, Italy
| | - Gabriella Farina
- Department of Oncology, AO Fatebenefratelli e Oftalmico, Corso di Porta Nuova, 23, Milan, Italy
| | - Maria Chiara Dazzani
- Department of Oncology, AO Fatebenefratelli e Oftalmico, Corso di Porta Nuova, 23, Milan, Italy
| | - Teresa Gamucci
- Medical Oncology Unit, Localita’ San Marciano, 03039 Sora (FR), Italy
| | - Karen Borgonovo
- Medical Oncology, AO Treviglio, Piazzale Ospedale, 1 Treviglio (BG), Italy
| | - Mario Botta
- Santo Spirito Hospital, ASL AL, Viale Giolitti 2, Casale Monferrato, Italy
| | - Nello Salesi
- UOC Oncologia, Ospedale S.M. Goretti, ASL Latina, via Canova, 3, Latina, Italy
| | - Monica Zuradelli
- Humanitas Cancer Center, Rozzano, Via Manzoni 56, Rozzano, Italy
| | - Ida Pavese
- UOC Oncologia Ospedale San Pietro Fatebenefratelli, via Cassia 60, Rome, Italy
| | - Elena Barbieri
- AO Universitaria di Bologna Policlinico San Orsola-Malpighi – Istituto di Oncologia F. Addarii, Via G. Ercolani 4/2, 40138 Bologna, Italy
| | - Elisabetta Cretella
- Oncologia Medica – Comprensorio Sanitario di Bolzano, Via Lorenz Böhler 5, Bolzano, Italy
| | - Tiziana Saladino
- UO Oncologia, Ospedale Provinciale, via Santa Lucia, Macerata, Italy
| | - Paola Varese
- Ospedale Civile, Oncology Department, Via Ruffini, 22 15076 Ovada (AL), Italy
| | | | - Gianfranco Addamo
- Division of Medical Oncology, Ospedale Civile ‘G Borea’, Via G. Borea 56, Sanremo, Italy
| | | | - Anna Iolanda Rispoli
- Oncology Unit, Universital Hospital Careggi, Largo Brambilla, 3, 50134 Firenze, Italy
| | - Arianna Pellegrino
- UOC Oncologia Ospedale San Pietro Fatebenefratelli, via Cassia 60, Rome, Italy
| | - Lucia Mentuccia
- Medical Oncology Unit, Localita’ San Marciano, 03039 Sora (FR), Italy
| | - Serena Girelli
- Department of Oncology, AO Fatebenefratelli e Oftalmico, Corso di Porta Nuova, 23, Milan, Italy
| | - Sheila Piva
- Department of Oncology, AO Fatebenefratelli e Oftalmico, Corso di Porta Nuova, 23, Milan, Italy
| | - Massimo Di Maio
- Clinical Trials Unit, National Cancer Institute, G. Pascale Foundation, Via Mariano Semmola, 162, Napoli, Italy
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