Epithelioid sarcoma pathophysiology: Difference between revisions

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* Epithelioid sarcoma is a rare [[soft tissue sarcoma]] arising from mesenchymal tissue and characterized by [[Epithelioid cell|epithelioid]]-like features.
* Epithelioid sarcoma accounts for less than 1% of all [[soft tissue sarcomas]]. It was first clearly characterized by F.M. Enzinger in 1970.<ref name=pmid5476785>{{cite journal |last1=Enzinger |first1=F. M. |title=Epithelioid sarcoma.A sarcoma simulating a granuloma or a carcinoma |journal=Cancer |volume=26 |issue=5 |pages=1029–41 |year=1970 |pmid=5476785 |doi=10.1002/1097-0142(197011)26:5<1029::AID-CNCR2820260510>3.0.CO;2-R }}</ref> It commonly presents itself in the [[distal]] limbs (fingers, hands, forearms, or feet) of young adults as a small, soft mass or a series of bumps. A [[proximal]] version has also been described, frequently occurring in the upper extremities.<ref>{{cite journal |last1=Guillou |first1=L |last2=Wadden |first2=C |last3=Coindre |first3=JM |last4=Krausz |first4=T |last5=Fletcher |first5=CD |title='Proximal-type' epithelioid sarcoma, a distinctive aggressive neoplasm showing rhabdoid features. Clinicopathologic, immunohistochemical, and ultrastructural study of a series |journal=The American Journal of Surgical Pathology |volume=21 |issue=2 |pages=130–46 |year=1997 |pmid=9042279 |doi=10.1097/00000478-199702000-00002}}</ref> Rare cases have been reported in the pelvis, vulva, penis, and spine.
==Genetics==
==Genetics==
''SMARCB1'' gene is involved in the pathogenesis of epithelioid sarcoma.
''SMARCB1'' gene is involved in the pathogenesis of epithelioid sarcoma.

Revision as of 22:04, 9 February 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

Pathogenesis

  • Epithelioid sarcoma is the second most common soft tissue sarcoma in hand. Epithelioid sarcoma is also sixth most common soft tissue sarcoma in upper extremity.
  • Primary site of epithelioid sarcoma is upper distal extremities. Other rare sites of epithelioid sarcoma are:
  • Vulva
  • Penis
  • Spine
  • Epithelioid sarcoma is a rare soft tissue sarcoma arising from mesenchymal tissue and characterized by epithelioid-like features.
  • Epithelioid sarcoma accounts for less than 1% of all soft tissue sarcomas. It was first clearly characterized by F.M. Enzinger in 1970.[1] It commonly presents itself in the distal limbs (fingers, hands, forearms, or feet) of young adults as a small, soft mass or a series of bumps. A proximal version has also been described, frequently occurring in the upper extremities.[2] Rare cases have been reported in the pelvis, vulva, penis, and spine.

Genetics

SMARCB1 gene is involved in the pathogenesis of epithelioid sarcoma.

Associated Conditions

Gross Pathology

Microscopic Pathology

References

  1. Enzinger, F. M. (1970). "Epithelioid sarcoma.A sarcoma simulating a granuloma or a carcinoma". Cancer. 26 (5): 1029–41. doi:10.1002/1097-0142(197011)26:5<1029::AID-CNCR2820260510>3.0.CO;2-R. PMID 5476785.
  2. Guillou, L; Wadden, C; Coindre, JM; Krausz, T; Fletcher, CD (1997). "'Proximal-type' epithelioid sarcoma, a distinctive aggressive neoplasm showing rhabdoid features. Clinicopathologic, immunohistochemical, and ultrastructural study of a series". The American Journal of Surgical Pathology. 21 (2): 130–46. doi:10.1097/00000478-199702000-00002. PMID 9042279.


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