A pediatric
case of Alveolar Soft Part Sarcoma.Rev
Stomatol Chir Maxillofac. 2007 Dec;108(6):547-50. Epub 2007 Oct 26.
INTRODUCTION: Alveolar
Soft Part Sarcoma (ASPS) is a rare malignant tumor arising from skeletal
muscles and occurring usually in young adults. It is a solid chemo resistant
tumor. At time of diagnosis the disease is usually advanced and lung
metastasis are present in 65% of the cases. The translocation (X; 17),
producing an ASPL-TFE3 transcript fusion which is detected on tumoral cells
wall, is specific of ASPS. The curative treatment is surgical. CLINICAL
REPORT: We report the case of a child with an ASPS of the tongue and lung
metastasis. DISCUSSION: This report presents two particularities. Firstly
this type of sarcoma is very exceptional in a 2-year-old child. Secondly
ASPS is not usually susceptible to chemotherapy.
Alveolar
soft part sarcoma of the endometrium with expression of CD10 and hormone
receptors.APMIS.
2007 Jul;115(7):861-5.
Alveolar soft part
sarcoma (ASPS) is a rare tumor of uncertain histogenesis, mainly localized
in the extremities. ASPS originating in the uterine corpus is quite rare;
only eight such cases have been reported in the literature. We here present
another case of ASPS found in the endometrium in a 50-year-old woman.
Metastatic malignant tumor, including ASPS from other organs, was excluded
by physical examination and imaging modalities. Thallium 201 was only
localized in the uterus. The tumor showed characteristic histological
features of ASPS: alveolar architecture with fibrovascular septa and
abundant eosinophilic granular cytoplasm with periodic acid-Schiff-positive
crystalline material. Diffuse nuclear immunoreactivity for TFE3, a marker
recently reported to be specific for ASPS, further supported the diagnosis
of ASPS. Interestingly, this tumor was negative for myogenic markers, but
positive for CD10, progesterone receptor, and estrogen receptor. These
immunohistochemical results and the tumor location suggest a possible link
between endometrial stromal cells and the development of this tumor. |