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Fedeli MA, Marras V, Fara AM, Deiana A, Lobrano R, Cossu A, Paliogiannis P. Primary Ewing sarcoma of the lung: A systematic review of the recent literature. Ann Diagn Pathol 2023; 65:152152. [PMID: 37149954 DOI: 10.1016/j.anndiagpath.2023.152152] [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: 02/26/2023] [Revised: 04/24/2023] [Accepted: 04/25/2023] [Indexed: 05/09/2023]
Abstract
Primary pulmonary Ewing sarcoma (PES) is a rare malignancy with only sporadic cases reported in the scientific literature. We performed a systematic review of the cases published in the last decade on PubMed, with the aim to describe the clinical, pathological, therapeutic, and prognostic data of PES. Forty-two articles reporting on 50 cases have been reviewed. Globally, 60 % of the patients were males, and the mean age at diagnosis was 30.5 years, with only a few cases diagnosed after 50 years of age. The most common clinical manifestations at diagnosis were dyspnea, cough and chest pain. The most common immunohistochemistry findings were staining for CD99 and (less frequently) for vimentin, and no staining for TTF-1, cytokeratin, desmin and S-100. ESWR1-FL1 translocation was tested in less than half of the cases. The disease was often locally advanced, treated generally with multidisciplinary treatment combining surgery, chemotherapy and radiation therapy. Among patients with follow-up data, approximately 40 % were dead at the time of publication, with the median survival being 11.5 months. Among those who were alive, only 8.3 % was free from disease at 48 months from diagnosis.
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Affiliation(s)
- Maria Antonietta Fedeli
- Unit of Anatomic Pathology and Histology, University Hospital of Sassari (A.O.U. SS), Via Matteotti 60, 07100 Sassari, Italy
| | - Vincenzo Marras
- Unit of Anatomic Pathology and Histology, University Hospital of Sassari (A.O.U. SS), Via Matteotti 60, 07100 Sassari, Italy
| | - Antonella Maria Fara
- Unit of Anatomic Pathology and Histology, University Hospital of Sassari (A.O.U. SS), Via Matteotti 60, 07100 Sassari, Italy
| | - Angelo Deiana
- Unit of Anatomic Pathology and Histology, University Hospital of Sassari (A.O.U. SS), Via Matteotti 60, 07100 Sassari, Italy
| | - Renato Lobrano
- Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro 43, 07100 Sassari, Italy
| | - Antonio Cossu
- Unit of Anatomic Pathology and Histology, University Hospital of Sassari (A.O.U. SS), Via Matteotti 60, 07100 Sassari, Italy; Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro 43, 07100 Sassari, Italy
| | - Panagiotis Paliogiannis
- Unit of Anatomic Pathology and Histology, University Hospital of Sassari (A.O.U. SS), Via Matteotti 60, 07100 Sassari, Italy; Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro 43, 07100 Sassari, Italy.
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He X, Song S, Yang P, Cao F, Li W, Liang P. A rare radiotherapy-sensitive primitive neuroectodermal tumor with APC gene amplification in an adult: a case report and literature review. J Int Med Res 2022; 50:3000605221118704. [PMID: 35983861 PMCID: PMC9393680 DOI: 10.1177/03000605221118704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Primitive neuroectodermal tumor (PNET) of the lung is rare in adults, and
treatment options vary. We herein describe the disease course and follow-up of
PNET in an adult. A 27-year-old man was admitted to our hospital because of
cough and headache, and whole-exome sequencing revealed positive expression of
the EWSR1-FLI1 fusion gene and amplification of the
APC gene. Although the patient received multidisciplinary
treatment including chemotherapy regimens of etoposide plus cisplatin; focal
radiotherapy focusing on the cerebrum, lung, and kidneys; and a subsequent
palliative gastrointestinal operation, he eventually died of multiple organ
functional failure. His overall survival period was 18 months, and his
progression-free survival period was 4 months. During the treatment, the patient
showed remarkable sensitivity to radiotherapy. In conclusion, PNET of the lung
in adult patients is extremely rare, and the prognosis is very poor. Involvement
of a multidisciplinary team in the development of personalized therapeutic
strategies is essential. This patient with APC gene
amplification showed excellent sensitivity to radiotherapy for intrapulmonary
and intracranial lesions, suggesting that APC gene
amplification may be related to radiotherapy sensitivity. However, further
clinical research is needed.
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Affiliation(s)
- Xin He
- Department of Respiratory Medicine, the Fourth Hospital of Hebei Medical University
| | - Shan Song
- Department of Medical Oncology, the Fourth Hospital of Hebei Medical University
| | - Peidan Yang
- Department of Pharmacy, the Fourth Hospital of Hebei Medical University
| | - Feng Cao
- Department of Radiation Oncology, the Fourth Hospital of Hebei Medical University
| | - Weijing Li
- Department of Medical Records, the Fourth Hospital of Hebei Medical University
| | - Ping Liang
- Department of Pharmacy, the Fourth Hospital of Hebei Medical University
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