Extraskeletal Chondrosarcoma: Long-term Follow-up of a Patient with Metastatic Disease
Autor: | Heather Katz, Ahmed Gamal Elsayed, Yehuda Lebowicz, Leesah Al-qawasmi |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Lung business.industry medicine.medical_treatment Wide local excision Soft tissue sarcoma General Engineering Disease Extraskeletal Myxoid Chondrosarcoma extraskeletal chondrosarcoma medicine.disease Asymptomatic 030218 nuclear medicine & medical imaging Radiation therapy 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Oncology soft tissue sarcoma 030220 oncology & carcinogenesis medicine Radiology medicine.symptom business Watchful waiting |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.2709 |
Popis: | Extraskeletal myxoid chondrosarcoma (EMC) is a rare soft tissue sarcoma with an indolent course and poor response to systemic treatment. We present a case of a 53-year-old male who presented with right gluteal extraskeletal myxoid chondrosarcoma. He was treated with wide local excision after receiving 50 Gray of neoadjuvant radiation therapy. Three years later he was found to have a left lower lobe lung nodule that was slowly increasing in size. He underwent a left lower lobectomy and the nodule was confirmed to be consistent with the patient’s history of EMC. One year later, lung imaging showed multiple small nodules bilaterally consistent with metastatic disease. The patient opted for watchful waiting approach. Routine follow-up imaging for four years shows a very slow progression of his disease burden. He continues to be asymptomatic. This case demonstrates the natural course of EMC and argues in favor of the watchful waiting approach in treating this disease. |
Databáze: | OpenAIRE |
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