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Atalay İB, Togral G. Unusual localization and aggressive progression of large infantile fibrosarcoma. ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA 2019; 53:507-511. [PMID: 31521455 PMCID: PMC6938915 DOI: 10.1016/j.aott.2019.08.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 07/29/2019] [Accepted: 08/22/2019] [Indexed: 11/29/2022]
Abstract
Infantile fibrosarcoma is a very rare soft tissue tumor in infants and children most commonly located in extremities. It constitutes less then 1 percent of all childhood cancers. Prognosis and clinical course of it is relatively good compared to adult forms. Local recurrence is common but metastasis is infrequent. In this case report we present infantile fibrosarcoma with relapse and lung metastasis despite neoadjuvant chemotherapy, pelvic reconstruction surgery with wide surgical excision and adjuvant chemotherapy protocol. The patient was a 2-year-old girl at the time of diagnosis, and there was a huge mass in pelvic region. After neoadjuvant chemotherapy, type 1 pelvic resection and pelvic reconstruction with bone cement performed. The patient presented with relapse and lung metastasis 6 months after the surgery. This is the first report of pelvic infantile fibrosarcoma with pelvic resection surgery. This case suggests that these tumors may exhibit unpredictable clinical behavior.
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Affiliation(s)
- İsmail Burak Atalay
- Department of Orthopaedics and Traumatology, DR A.Y Ankara Oncology Training and Research Hospital, Ankara, Turkey.
| | - Guray Togral
- Department of Orthopaedics and Traumatology, DR A.Y Ankara Oncology Training and Research Hospital, Ankara, Turkey
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2
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Elbow Cystic Lymphangioma in an 8-Month-Old Boy. Case Rep Orthop 2019; 2019:8762614. [PMID: 30886754 PMCID: PMC6388320 DOI: 10.1155/2019/8762614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2018] [Accepted: 01/29/2019] [Indexed: 12/02/2022] Open
Abstract
Cystic lymphangiomas are benign tumors originating mainly in the head and neck of the pediatric population. The authors report a rare case of cystic lymphangioma in the right elbow of an 8-month-old baby treated successfully by complete surgical resection.
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3
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Alias H, Abdul Rashid AH, Lau SCD, Loh CK, Sapuan J, Ibrahim S, Md Zin RR, Chow YP, Kanegane H, Eguchi M. Early Surgery Is Feasible for a Very Large Congenital Infantile Fibrosarcoma Associated With Life Threatening Coagulopathy: A Case Report and Literature Review. Front Pediatr 2019; 7:529. [PMID: 31956645 PMCID: PMC6951396 DOI: 10.3389/fped.2019.00529] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Accepted: 12/05/2019] [Indexed: 01/03/2023] Open
Abstract
Background: Congenital infantile fibrosarcoma (CIF) is a rare malignant soft tissue tumor that predominantly occurs in children under 1 year of age. CIF is frequently misdiagnosed with other conditions like hemangioma of infancy, infantile fibromatosis, or kaposiform hemangioendothelioma. Disseminated intravascular coagulopathy (DIVC) is rarely reported to be associated with CIF. Case presentation: We describe an infant who presented with a large mass over the right arm. She was initially treated conservatively as hemangioma but was later confirmed by tissue histopathological examination to have CIF as the mass rapidly increased in size. She developed massive intra-tumoral bleed with DIVC whilst receiving neoadjuvant chemotherapy requiring multiple blood products transfusion. An urgent near-total resection of the tumor was performed in view of life threatening bleeding despite multiple blood transfusions. Post-operatively, she received further adjuvant chemotherapy. Subsequently, she remained in complete remission 32 months off-treatment and has full function of the affected limb. Conclusions: CIF is an important condition to be considered in infant who has large mass over the extremity. DIVC could be associated with large CIF and when it occurs can be life-threatening. Whenever feasible early surgery should be performed in very young patients with large CIF to prevent mortality from bleeding.
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Affiliation(s)
- Hamidah Alias
- Department of Pediatrics, The National University of Malaysia, Kuala Lumpur, Malaysia.,UKM Medical Molecular Biology Institute, The National University of Malaysia, Kuala Lumpur, Malaysia
| | - Abdul Halim Abdul Rashid
- Department of Orthopedic and Traumatology, The National University of Malaysia, Kuala Lumpur, Malaysia
| | - Sie Chong Doris Lau
- Department of Pediatrics, The National University of Malaysia, Kuala Lumpur, Malaysia
| | - C-Khai Loh
- Department of Pediatrics, The National University of Malaysia, Kuala Lumpur, Malaysia
| | - Jamari Sapuan
- Department of Orthopedic and Traumatology, The National University of Malaysia, Kuala Lumpur, Malaysia
| | - Sharaf Ibrahim
- Department of Orthopedic and Traumatology, The National University of Malaysia, Kuala Lumpur, Malaysia
| | - Reena R Md Zin
- Department of Pathology, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia
| | - Yock Ping Chow
- UKM Medical Molecular Biology Institute, The National University of Malaysia, Kuala Lumpur, Malaysia
| | - Hirokazu Kanegane
- Department of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Mariko Eguchi
- Department of Pediatrics, Graduate School of Medicine, Ehime University, Toon, Japan
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4
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Moriya K, Abe S, Onuma M, Sato A, Takeyama J, Hosaka M, Sasahara Y, Imaizumi M. Successful treatment of ETV6-NTRK3 fusion gene-negative infantile fibrosarcoma with metastatic lesion resistant to VAC chemotherapy. Pediatr Int 2018; 60:1045-1046. [PMID: 30536487 DOI: 10.1111/ped.13704] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 07/12/2018] [Accepted: 07/13/2018] [Indexed: 11/25/2022]
Affiliation(s)
- Kunihiko Moriya
- Department of Hematology and Oncology, Miyagi Children's Hospital, Sendai, Miyagi, Japan.,Department of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
| | - Sei Abe
- Department of Hematology and Oncology, Miyagi Children's Hospital, Sendai, Miyagi, Japan
| | - Masaei Onuma
- Department of Hematology and Oncology, Miyagi Children's Hospital, Sendai, Miyagi, Japan
| | - Atsushi Sato
- Department of Hematology and Oncology, Miyagi Children's Hospital, Sendai, Miyagi, Japan
| | - Junji Takeyama
- Department of Clinical Pathology, Miyagi Children's Hospital, Sendai, Miyagi, Japan
| | - Masami Hosaka
- Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
| | - Yoji Sasahara
- Department of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
| | - Masue Imaizumi
- Department of Hematology and Oncology, Miyagi Children's Hospital, Sendai, Miyagi, Japan
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5
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Yoshihara H, Yoshimoto Y, Hosoya Y, Hasegawa D, Kawano T, Sakoda A, Okita H, Manabe A. Infantile fibrosarcoma treated with postoperative vincristine and dactinomycin. Pediatr Int 2017; 59:371-374. [PMID: 28317309 DOI: 10.1111/ped.13229] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Revised: 08/28/2016] [Accepted: 09/01/2016] [Indexed: 12/12/2022]
Abstract
Infantile fibrosarcoma is a non-rhabdomyosarcoma soft-tissue sarcoma that occurs in infancy and which has a relatively good prognosis. A vincristine and dactinomycin (VA) regimen has been shown to be effective, although the duration of chemotherapy has not been well defined. We describe the case of a 4-month-old boy with a mass at the left dorsum of the foot who was diagnosed with infantile fibrosarcoma after resection of the tumor, the margin of which was macroscopically positive. VA treatment was carried out with careful monitoring of response and adverse effects. Pancytopenia was seen during the second cycle, and therapy was reduced thereafter. The treatment was continued for 38 weeks (12 cycles). There was no functional impairment, and no evidence of recurrence at 18 months after therapy.
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Affiliation(s)
- Hiroki Yoshihara
- Department of Pediatrics, St Luke's International Hospital, Tokyo, Japan
| | - Yuri Yoshimoto
- Department of Pediatrics, St Luke's International Hospital, Tokyo, Japan
| | - Yosuke Hosoya
- Department of Pediatrics, St Luke's International Hospital, Tokyo, Japan
| | - Daisuke Hasegawa
- Department of Pediatrics, St Luke's International Hospital, Tokyo, Japan
| | - Takafumi Kawano
- Department of Pediatric Surgery, St Luke's International Hospital, Tokyo, Japan
| | - Akiko Sakoda
- Department of Pediatric Surgery, St Luke's International Hospital, Tokyo, Japan
| | - Hajime Okita
- Department of Pediatric Hematology and Oncology Research, National Research Institute for Child Health and Development, National Center for Child Health and Development, Tokyo, Japan.,Department of Pathology, Keio University School of Medicine, Tokyo, Japan
| | - Atsushi Manabe
- Department of Pediatrics, St Luke's International Hospital, Tokyo, Japan
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Erickson BP, Tse DT. Management of neonatal proptosis: a systematic review. Surv Ophthalmol 2013; 59:378-92. [PMID: 24929905 DOI: 10.1016/j.survophthal.2013.11.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2013] [Revised: 11/04/2013] [Accepted: 11/12/2013] [Indexed: 11/30/2022]
Abstract
Gross proptosis presenting at birth is an uncommon manifestation of a variety of lesions that can compromise vision and result in disfigurement or even loss of life. Notably, many disease entities have different presentations and prognoses in neonates compared to older children. A structured mental framework is essential to an efficient and coordinated response. We present three challenging cases of neonatal proptosis and discuss the clinical presentation and biological behavior of the lesions that are most often implicated.
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Affiliation(s)
| | - David T Tse
- Bascom Palmer Eye Institute, Miami, Florida, United States.
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