A Rare Malignant Soft Tissue Tumor; Low Grade Fibromyxoid Sarcoma: A Case Report

Yıl 2013, Cilt: 3 Sayı: 4, 208 - 211, 01.12.2013

Varlık Erol Tayfun Yoldaş Banu Yaman Cemil Çalışkan

https://doi.org/10.5505/sakaryamj.2013.64326

Öz

Low grade fibromyxoid sarcoma (LGFS) is a rare tumor that has a tendency to develop in deep soft tissues. Despite its histologically benign appearance it may have an aggressive clinical course with local recurrences and metastasis. It was first described by Evans in 1987. It is more often seen in young adults and especially in male patients. The tumor has a tendency to develop in deep soft tissues and less frequently in the subcutaneous tissues; the most common locations are gluteal region, chest wall, shoulder and lower extremities but rarely it may also occur in the head, cheek, jaw and the retroperitoneal area. In this case report we aimed to determine the diagnosis pathways and treatment modalities of LGFS, with regard to the literature.

Anahtar Kelimeler

Fibromyxoid sarcoma, soft tissue tumor, treatment

Nadir Bir Malign Yumuşak Doku Tümörü; Düşük Dereceli Fibromiksoid Sarkom: Olgu Sunumu

Öz

Düşük dereceli fibromiksoid sarkom (DDFS) derin yumuşak dokularda gelişmeye eğilimli, histolojik olarak benign görünümüne rağmen lokal nüks ve metastaz ile agresif klinik gidiş gösterebilen nadir bir tümördür. İlk kez 1987' de Evans tarafından tanımlanmıştır. Özellikle genç erişkinlerde ve erkeklerde daha sık görülmektedir. Tümör, derin yumuşak dokularda ve daha az sıklıkla da subkutan dokularda yerleşmeye eğilimli olup en sık görülen yerler gluteal bölge, göğüs duvarı, omuz ve alt ekstremiteler olmakla birlikte nadiren baş ve retroperitoneal bölgede de ortaya çıkabilir. Bu olgu sunumunda DDFS'un tanı ve tedavisinin literatür eşliğinde irdelenmesi amaçlandı.

Anahtar Kelimeler

Fibromiksoid sarkom, yumuşak doku tümörü, tedavi

Kaynakça

• Shidham VB, Ayala GE, Lahaniatis JE, Garcia FU. Low- grade fibromyxoid sarcoma-Clinicopathologic case report with review of the literature. AM J CL ONC, 1999; 22: 150-5. [doi:10.1097/00000421-199904000-00009]
• Evans HL. Low-Grade Fibromyxoid Sarcoma. A report of 12 cases. Am J Surg Pathol. 1993;17:595-600. [doi:10.1097/00000478- 199306000-00007]
• Lee AF, Yip S, Smith AC, Hayes MM, Nielsen TO, O'Connell JX. Low-grade fibromyxoid sarcoma of the perineum with heterotopic ossification: case report and review of the literature. Human Pathology 2011; 42: 1804–9. [doi:10.1016/j. humpath.2011.01.023]
• Kösem M. Low - grade fibromiksoid sarkom: 3 olgu sunumu. Türk Patoloji Dergisi 2002; 18: 68-70.
• Fletcher CDM, Unni KK, Mertens F, eds. World Health Organization of Tumors. Pathology and Genetics of Tumors of Soft Tissues and Bone. Lyon: IARC Press. 2002; 104-5.
• Liao KS, Huang WT, Yang SF, Chien SH, Hsieh TJ, Chai CY, et al. Intramuscular low-grade fıbromyxoıd sarcoma: a case report. Kaohsiung J Med Sci 2009;25:448–54. [doi:10.1016/S1607- 551X(09)70541-8]
• Tuğyan N, Tunakan M, Sarı A, Genç H. Düşük Dereceli Fibromiksoid Sarkom. İnönü Üniversitesi Tıp Fakültesi Dergisi 2006;13:113-5.
• Dawamneh MF, Amra NK, Amr SS. Low Grade Fibromyxoid Sarcoma: Report of a Case with Fine Needle Aspiration Cytology and Histologic Correlation. Acta Cytol. 2006; 50:208-12. [doi: 0001-5547/06/5002-0208/$19.00/0]
• Lindberg GM, Maitra A, Gokaslan TS, Saboorian MH, Low-Grade Albores-Saavedra Cancer 0142(19990425)87:2<75::AID-CNCR6>3.3.CO;2-N]
• [doi:1002/(SICI)1097
• Van den Bossche MR, Van Mieghem H. Low-grade fibromyxoid sarcoma. Oncology 2000;58:207-9. [doi:10.1159/000012101]
• Evans HL. Low-grade fibromyxoid sarcoma: a clinicopathologic study of 33 cases with long-term follow-up. Am J Surg Pathol. 2011;35:1450-62. [doi: 10.1097/PAS.0b013e31822b3687]
• Lam YL, Ho WY, Ng TP, Kan A, Shek TW. A sarcoma of 23 years' duration: symptom duration is not a reliable parameter to exclude malignancy. Hong Kong Med J. 2012;18:250-2.