Congenital/Infantile Fibrosarcoma of the Colon

التفاصيل البيبلوغرافية
العنوان: Congenital/Infantile Fibrosarcoma of the Colon
المؤلفون: Antonio Taddei, Bruno Noccioli, Alessandro Franchi, Iacopo Sardi, Vincenza Maio, Duccio Rossi Degl'Innocenti, Anna Maria Buccoliero, Francesca Castiglione, Gian Luigi Taddei
المصدر: Journal of Pediatric Hematology/Oncology. 30:723-727
بيانات النشر: Ovid Technologies (Wolters Kluwer Health), 2008.
سنة النشر: 2008
مصطلحات موضوعية: Pathology, medicine.medical_specialty, infantile fibrosarcoma, Proliferation index, Fibrosarcoma, CD34, Vimentin, Disease-Free Survival, Translocation, Genetic, Lesion, Adjuvant therapy, Humans, Medicine, congenital fibrosarcoma, intestine, electron microscopy, PCR, ETV6-NTRK3, Chromosomes, Human, Pair 15, Chromosomes, Human, Pair 12, biology, business.industry, Infant, Newborn, Hematology, medicine.disease, Immunohistochemistry, Oncology, Colonic Neoplasms, Pediatrics, Perinatology and Child Health, biology.protein, medicine.symptom, business, Infantile Fibrosarcoma
الوصف: Fibrosarcomas diagnosed during the early years of life are called congenital/infantile fibrosarcomas. They differ from adult fibrosarcomas because of their limited aggressive outcome. Congenital/infantile fibrosarcomas occur most frequently on the extremities. This article describes an exceptional case of colonic congenital/infantile fibrosarcoma diagnosed in a 3-day-old baby boy. It is the third intestinal congenital/infantile fibrosarcoma reported in the international literature. The lesion was radically excised. Microscopic examination revealed a densely cellular and poorly circumscribed tumor composed of spindle cells forming interlacing fascicles with herringbone appearance. Necrotic and hemorrhagic areas were appreciable. Mitotic count was 2/10 high-power fields. Immunohistochemistry revealed that the tumor cells were positive for vimentin, focally positive for h-caldesmon, and that they were negative for epithelial markers, muscular markers, S-100 protein, and CD34. The proliferation index (Mib-1) was 15%. Polymerase chain reaction demonstrated the chromosomal translocation t(12;15) (p13;q25). At the ultrastructural level, neoplastic cells had fibroblastic and myofibroblastic features. The patient underwent follow-up without adjuvant therapy. Twelve months after the surgery, he is alive and well. Given the common indolent nature of this tumor, it is important to avoid misdiagnoses with more aggressive tumors. The algorithm for the diagnosis of congenital/infantile fibrosarcoma, especially outside the usual localizations, should comprise morphologic, immunohistochemical, molecular, and ultrastructural studies.
تدمد: 1077-4114
DOI: 10.1097/mph.0b013e31817541df
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3c70390771999b1a901b75b8269a9578
https://doi.org/10.1097/mph.0b013e31817541df
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....3c70390771999b1a901b75b8269a9578
قاعدة البيانات: OpenAIRE
الوصف
تدمد:10774114
DOI:10.1097/mph.0b013e31817541df