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Brief Case Report
Primary Leiomyosarcoma of Adrenal Gland with Tissue Eosinophilic Infiltration
Seungkoo Lee, Gail Domecq C. Tanawit, Rolando A. Lopez, Jaime T. Zamuco, Betsy Grace G. Cheng, Menandro V. Siozon
Korean J Pathol. 2014;48(6):423-425.   Published online December 31, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.6.423
  • 7,908 View
  • 38 Download
  • 7 Crossref
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Citations

Citations to this article as recorded by  
  • Outcomes and Follow-Up Trends in Adrenal Leiomyosarcoma: A Comprehensive Literature Review and Case Report
    Federico Maria Mongardini, Maddalena Paolicelli, Antonio Catauro, Alessandra Conzo, Luigi Flagiello, Giusiana Nesta, Rosetta Esposito, Andrea Ronchi, Alessandro Romano, Renato Patrone, Ludovico Docimo, Giovanni Conzo
    Journal of Clinical Medicine.2024; 13(12): 3499.     CrossRef
  • Challenges in the diagnosis of the enigmatic primary adrenal leiomyosarcoma: two case reports and review of the literature
    Sawako Suzuki, Naoya Takahashi, Masafumi Sugo, Kazuki Ishiwata, Akiko Ishida, Suzuka Watanabe, Katsushi Igarashi, Yutaro Ruike, Kumiko Naito, Masanori Fujimoto, Hisashi Koide, Yusuke Imamura, Shinichi Sakamoto, Tomohiko Ichikawa, Yoshihiro Kubota, Takeshi
    BMC Endocrine Disorders.2023;[Epub]     CrossRef
  • Primary adrenal leiomyosarcoma: clinical case and literature review
    S. V. Lukyanov, K. M. Blikyan, S. S. Todorov, V. Y. Deribas, N. S. Lukyanov
    Endocrine Surgery.2021; 15(1): 36.     CrossRef
  • Pleomorphic Leiomyosarcoma of the Adrenal Gland in a Young Woman: A Case Report and Review of the Literature


    Yuanyuan Wang, Yongliang Teng, Shibo Na, Ye Yuan
    OncoTargets and Therapy.2020; Volume 13: 4705.     CrossRef
  • Primary Adrenal Leiomyosarcoma: Clinical, Radiological, and Histopathological Characteristics
    Fatema Jabarkhel, Henri Puttonen, Lina Hansson, Andreas Muth, Oskar Ragnarsson
    Journal of the Endocrine Society.2020;[Epub]     CrossRef
  • Primary adrenal leiomyosarcoma with inferior vena cava extension in a 70-year-old man
    Sai K Doppalapudi, Tejash Shah, Valerie A Fitzhugh, Vladislav Bargman
    BMJ Case Reports.2019; 12(3): e227670.     CrossRef
  • Primary Adrenal Leiomyosarcoma: An Extremely Rare Mesenchymal Tumor
    D Lokanatha, Linu Abraham Jacob, MC Suresh Babu, KN Lokesh, Ram Krishna Sai, AH Rudresha, LK Rajeev, Smitha Saldanha, MN Suma, A Usha
    Indian Journal of Medical and Paediatric Oncology.2019; 40(04): 559.     CrossRef
Case Reports
Extraskeletal Mesenchymal Chondrosarcoma in the Axillary Region: Reports of Two Cases
Chang-Young Seo, Sung-Taek Jung, Jae-Wook Byun
Korean J Pathol. 2012;46(5):483-488.   Published online October 25, 2012
DOI: https://doi.org/10.4132/KoreanJPathol.2012.46.5.483
  • 7,275 View
  • 40 Download
  • 5 Crossref
AbstractAbstract PDF

Extraskeletal mesenchymal chondrosarcomas (EMCs) are relatively uncommon, and a location in the upper extremity, especially in the shoulder or axillary region, is rare. Furthermore, the radiographic findings of EMCs do not show any features that distinguish them from other neoplasms, and therefore, definitive diagnoses are made based on histological features. EMC is an aggressive tumor with a poor prognosis, and requires wide surgical excision. However, its treatment may involve peculiarities such as a difficulty in obtaining a proper surgical margin in the axillary region or shoulder. In this report, the authors present two rare cases of EMCs in the axillary region.

Citations

Citations to this article as recorded by  
  • Complete surgical excision of a high‐grade extraskeletal mesenchymal chondrosarcoma, resulting in a longer survival than previously reported
    Hannah Reeves, Tesh Smalle
    Veterinary Record Case Reports.2022;[Epub]     CrossRef
  • Locally recurrent extraskeletal myxoid chondrosarcoma of the shoulder: a case of complete neoadjuvant radiotherapy response
    Luca Improta, Sergio Valeri, Rossana Alloni, Chiara Pagnoni, Francesco Mallozzi Santa Maria, Beniamino Brunetti, Carlo Greco, Irene Aprile, Mirella Maselli, Bruno Vincenzi, Alessandro Gronchi
    Clinical Sarcoma Research.2020;[Epub]     CrossRef
  • Primary extraskeletal chondrosarcoma in the axillary region of a dog with review of the literature
    Catrina Pennington, Josep Monne Rodriguez, Marlene Finck, Ben Walton
    Veterinary Record Case Reports.2018;[Epub]     CrossRef
  • Mesenchymal Chondrosarcoma of Bone and Soft Tissue: A Systematic Review of 107 Patients in the Past 20 Years
    Jie Xu, Dasen Li, Lu Xie, Shun Tang, Wei Guo, David M Loeb
    PLOS ONE.2015; 10(4): e0122216.     CrossRef
  • Management of renal extraskeletal mesenchymal chondrosarcoma
    Vitalie Gherman, Ciprian Tomuleasa, Catalina Bungardean, Nicolae Crisan, Victor-Dan Ona, Bogdan Feciche, Alexandru Irimie, Ioan Coman
    BMC Surgery.2014;[Epub]     CrossRef
Dedifferentiated Extraskeletal Myxoid Chondrosarcoma of the Masticator Space: A Case Report.
Geunyoung Jung, Kyung Ja Cho, Seung Ho Choi, Mi Jung Kim
Korean J Pathol. 2011;45:S101-S105.
DOI: https://doi.org/10.4132/KoreanJPathol.2011.45.S1.S101
  • 3,632 View
  • 26 Download
  • 3 Crossref
AbstractAbstract PDF
We describe a 69-year-old woman who presented with a dedifferentiated extraskeletal myxoid chondrosarcoma arising in the left masticator space. Computed tomography and magnetic resonance imaging revealed a 5 cm sized mass in the left masticator space. Histologically, the tumor consisted of two distinct areas. The less cellular area was a low-grade extraskeletal myxoid chondrosarcoma, composed of strands or cords of uniform spindle cells and abundant myxoid stroma. The more cellular, dedifferentiated area corresponded to a high grade myxofibrosarcoma, consisting of anaplastic tumor cells in myxoid stroma and geographic necrosis. The tumor cells of the former area were positive for S-100 protein, microtubule-associated protein-2 (MAP-2) and class III beta-tubulin, but negative for cytokeratin, smooth muscle actin, and desmin. The tumor cells in the latter, pleomorphic area showed MAP-2 and beta-tubulin immunoreactivity with a high Ki-67 labeling index. Based on its histologic and immunohistochemical features, the tumor was considered a dedifferentiated extraskeletal myxoid chondrosarcoma.

Citations

Citations to this article as recorded by  
  • Extraskeletal myxoid chondrosarcoma of the parotid gland
    NyimiBushabu Fidele, Wu Tianfu, Bing Liu, Yanfang Sun, Zhao Yifang
    Annals of Maxillofacial Surgery.2019; 9(2): 439.     CrossRef
  • Myxoid chondrosarcoma of maxilla: A rare case report
    Hiralal Ash, Ajoy Kumar Shahi, Kabita Chatterjee, Dipankar Samaddar
    Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology.2016; 28(3): 273.     CrossRef
  • Maxillo-facial Extraskeletal Myxoid Chondrosarcoma: A Case Report and Discussion
    Ratnadeep Ganguly, Abhishek Mukherjee
    The Korean Journal of Pathology.2011; 45(6): 639.     CrossRef
Maxillo-facial Extraskeletal Myxoid Chondrosarcoma: A Case Report and Discussion.
Ratnadeep Ganguly, Abhishek Mukherjee
Korean J Pathol. 2011;45(6):639-643.
DOI: https://doi.org/10.4132/KoreanJPathol.2011.45.6.639
  • 3,066 View
  • 17 Download
  • 2 Crossref
AbstractAbstract PDF
In this report, we share our experience of a case of maxillo-facial extraskeletal myxoid chondrosarcoma, a very rare location for this neoplasm. In addition, a literature review is provided. The patient, a 61-year-old male, had a maxillary mass encroaching on the nasal cavity. After debulking, the tumor recurred, attaining its pre-surgical proportion in two months. The patient improved clinically with radiation and remained stable for about one year. However, he ultimately developed metastases in his lung which were treated with palliative chemotherapy with a good outcome lasting three months. We could find only eight reported cases of this tumor in the head region of which two are in the maxilla; hence, ruling out other primary sites is mandatory for a patient presenting with a primary head and neck mass. Surgical removal may be complicated because of the location. A combination of surgery and radiation is the management of choice, with palliative chemotherapy in metastasis.

Citations

Citations to this article as recorded by  
  • Extraskeletal Myxoid Chondrosarcoma of Floor of Mouth—A Rare Case Report and Review of Literature
    Surendra K Dabas, Nandini N Menon, Reetesh Ranjan, Bikas Gurung, Sukirti Tiwari, Bharat Bhushan Bassan, Himanshu Shukla, Sunil Pasricha, Ajit Sinha, Rahul Kapoor, Vinay Kumar Verma, Devesh Verma, Saurabh Arora, Ashwani Sharma, Sourabh Mukharjee, Rishu Sin
    Indian Journal of Otolaryngology and Head & Neck Surgery.2024; 76(1): 1290.     CrossRef
  • Intracranial Metastasis of Extracranial Chondrosarcoma: Systematic Review With Illustrative Case
    Charles E. Mackel, Harry Rosenberg, Hemant Varma, Erik J. Uhlmann, Rafael A. Vega, Ron L. Alterman
    Brain Tumor Research and Treatment.2023; 11(2): 103.     CrossRef
Clear Cell Chondrosarcoma Arising in Hyoid Bone.
Hae Jin Jeong, Sug Kyoung Ko, Myeng Sun Park, Hee Kyung Chang, Man Ha Huh
Korean J Pathol. 1997;31(5):470-475.
  • 1,559 View
  • 13 Download
AbstractAbstract PDF
Clear cell chondrosarcoma, first described by Unni in 1976, is distinguished from classical chondrosarcoma by a typical histological picture, mostly an epiphyseal site of origin, and relatively a benign clinical course. We present a case of clear cell chondrosarcoma arising from hyoid bone in a 70-year-old male. Histologically, large areas of closely packed cells with characteristic clear cytoplasm were seen in addition to the usual elements of a conventional chondrosarcoma. Our search and review of the literature did not reveal any reported case of clear cell chondrosarcoma arising from hyoid bone.
Original Articles
Fine Needle Aspiration Cytology of Myxodi Chondrsarcoma of Pleura: A Case Report.
Na Hye Myong, Kyung Ja Cho, Ja June Jang, Jae Il Zo, Young Mog Shim
Korean J Cytopathol. 1990;1(2):152-157.
  • 1,659 View
  • 38 Download
AbstractAbstract PDF
A 70-year-old female who was diagnosed as myxoid chondrosarcoma by fine needle aspiration of a pleural mass is described. She presented with left chest discomfort of 4 months' duration and aggravating dyspnea and chest pain for 2 months. Chest X-ray and CT scan revealed a large lobulated low density mass invading chest wall at the left pleural cavity and massive pleural fluid. Fine needle aspiration was done under the impression of mesothelioma or metastatic cancer. The aspirates from the mass were very cellular and composed of isolated or clustered forms of large plump cells. Abundant cytoplasm was bluish opaque and the margin was rounded in the isolated cells, whereas clustered cells show ill-defined cell borders and aggregating tendency. The nuclei were eccentric, round to ovoid, and had fine chromatin pattern and multiple small nucleoli. Cellular pleomorphism or mitotic figure was not definite. These findings were consistent with cytologic features of chondrosarcoma. Final diagnosis was confirmed as myxoid chondrosarcoma by mediastinoscopic biopsy and the tumor showed strong positivity for S-100 protein.
Fine Needle Aspiration Cytology of Extraskeletal Mesenchymal Chondrosarcoma.
Myoung Ja Chung, So Yeong Oh, Myoung Jae Kang, Dong Geun Lee, Ho Yeul Choi, Sang Ho Kim
Korean J Cytopathol. 1997;8(2):194-198.
  • 1,550 View
  • 22 Download
AbstractAbstract PDF
Extraskeletal mesenchymal chondrosarcoma is a relatively rare tumor and its cytologic findings have rarely been reported. We experienced a case of mesenchymal chondrosarcoma of soft tissue of the right lateral neck diagnosed by fine needle aspiration biopsy in a 59 year-old man. Cytologic findings showed two cell components. One was an undifferentiated, small cell component with moderate amount of cytoplasm and spindle nuclei. The second population was a chondroid component. These cytologic findings were diagnostic to mesenchymal chondrosarcoma.
Case Reports
Dedifferentiated Chondrosarcoma with Giant Cell-rich Sarcomatous Component Resembling Giant Cell Tumor: A Case Report.
Pil Gyu Hwang, Jae Kyung Won, Min A Kim, Han Soo Kim, Sang Hoon Lee, Chong Jai Kim
Korean J Pathol. 2004;38(5):345-349.
  • 2,288 View
  • 58 Download
AbstractAbstract PDF
Dedifferentiated chondrosarcoma is an uncommon bone tumor, defined as a tumor in which two components -a low-grade chondrosarcoma and a high-grade non-cartilaginous sarcoma-coexist with abrupt interface. We report a rare case of giant-cell rich dedifferentiated chondrosarcoma occurred in the right distal femur shaft of a 60 year-old female. The plain X-ray film showed an irregular radiolucent mass. The T2-weighted MRI revealed a heterogeneous high signal intensity. It was an irregular mass composed of bluish-white, translucent chondroid elements and yellowish solid components with extraosseous invasion. Microscopically, a low-grade chondrosarcoma and a giant-cell rich spindle cell sarcoma with areas resembling giant cell tumor were recognized with abrupt transition. Immunohistochemical staining revealed a S100 protein positivity in chondroid cells and a few spindle cells. CD68 was strongly positive in giant cells. Vimentin was positive in both components and smooth muscle actin was positive in some spindle cells. There was no cytokeratin, desmin and myogenin immunopositivity. It is important to be aware of this rare variant of dedifferentiated chondrosarcoma to avoid the misdiagnosis of more common bone tumors including giant cell tumors.
Primary Chondrosarcoma of the Lung: A case report.
Yong Wook Park, Seong Nam Kim, Jae Hyung Yoo, Kye Yong Song, Sung Ho Hue
Korean J Pathol. 1991;25(4):376-381.
  • 1,660 View
  • 25 Download
AbstractAbstract PDF
Primary chondrosarcoma of the lung is an extremely rare tumor, and classified into two types, tracheobronchial & lung variety. The tracheobronchial variety is usually localized and lacked lymph nodal or distant spread with good prognosis. The lung variety tends to be more invasive associated with mediastinal lymph node involvement and thoracic metastasis. Authors experienced a case of primary chondrosarcoma, lung variety, of the lung involving left lower lobe with thoracic metastasis, not yet reported in Korean literatures. The patient was 55-year-old Korean female and chief complaints were cough, dyspnea & chest pain. Pathologically, it was confused with the metastatic adenocarcinoma in the first pleural fluid cytology. But bronchoscopic biopsy revealed typical morphology of chondrosarcoma with concentric growth encircling the bronchial tree and partial destruction of the bronchiols, suggesting its primary origin. Later pleural biopsy and aspiration materials during ches tube insertion revealed also metastatic chondrosarcoma. Radiologic studies were also campatible findings to chondrosarcoma. After admision, the patient underwent progressively downhill course & expired at 31st hospital day.
Mesenchymal Chondrosarcoma Arising from Orbital Soft Tissue: A case report.
Yu Mee Kang, Mi Kyung Jee, Seok Jin Gang, Byung Kee Kim, Sun Moo Kim
Korean J Pathol. 1989;23(2):273-277.
  • 1,494 View
  • 11 Download
AbstractAbstract PDF
Orbital mesenchymal chondrosarcoma, first described by Luis et. al in 1971, is a very rare tumor of characteristic histologic features. A 21-year-woman was admitted with a 4-month histoiry of rapidly progressive proptosis and visual disturbance. Right orbital exenteration was performed under the clinical diagnosis of orbital calcifying tumor. Grossly, the tumor presented as a multibloblated, circumscribed mass that measures 5.5 cm in the greatest dimentsion. Cut sections resembled ordinary chonrosarcoma. Microscopically, the tumor was composed of undifferentiated mesenchymal cells, interspersed nodules of well differentated cartilagenous tissue, areas of gradual transition from undifferentiated mesenchymal cells to cartilage, and hemangiopericytoma-like areas. A brief summary of the histopathological aspect of this tumor and a review of literature are presented.
Original Article
Fine Needle Aspiration Cytology of Chondrosarcoma.
Kyung Ja Cho, Ja June Jang, Soo Yong Lee
Korean J Pathol. 1988;22(3):348-352.
  • 2,161 View
  • 62 Download
AbstractAbstract PDF
Fine needle aspiration cytologic findings of four cases of chondrosarcoma were described. The cases consisted of one primary scapular tumor, two recurrent shoulder masses, and right upper quadrant mass which developed after an A-K amputation for an unknown tumor. The aspirates characteristically revealed cell-rich smears containing clusters and isolated cells having abundant cyanophilic cytoplasm and round to oval or elongated vesicular nuclei. The cytoplasm was occasionally foamy. The nuclei were usually small but prominent. Nuclear atypism and pleomorphism were frequently associated. The last case showed epithelioid sheets of polygonal cells, possibly representing chondroblasts, and a well differentiated chondroid element. The fine needle aspiration could be a good diagnostic tool for primary, recurrent, and metastatic chondrosarcomas.

J Pathol Transl Med : Journal of Pathology and Translational Medicine