Hepatic rhabdomyosarcoma in an adult: a rare primary malignant liver tumor. Case report and literature review

Autor: G, Schoofs, L, Braeye, R, Vanheste, G, Verswijvel, M, Debiec-Rychter, R, Sciot
Rok vydání: 2012
Předmět:
Zdroj: Acta gastro-enterologica Belgica. 74(4)
ISSN: 1784-3227
Popis: Rhabdomyosarcomas are malignant tumors that display features of striated muscle differentiation. They are the most common soft-tissue sarcomas among children and young adults. In mature adults however there are very rare. The liver as a primary site in adults has only been described in 12 cases. We report a case of a primary alveolar rhabdomyosarcoma of the liver in a 59 year old female, confirmed by histological examination using immunohistochemical analysis (positive actin, desmin, vimentin and myogenin staining) and fluorescent in situ hybridization (FISH) analysis (positivity for PAX3/FOXO1A fusion). The patient underwent primary surgical resection, but presented a few weeks after surgery already with recurrent disease in the abdomen and bone metastasis. Despite initial good response to chemotherapy (doxorubicin/ifosfamide) and stable disease at 12 months after diagnosis, the patient died 31 months after the first presentation secondary to complicated abundant abdominal recurrent disease. We further present a review of the literature on published similar cases since 1979.
Databáze: OpenAIRE