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A Case Report of Cutaneous Low-grade Myofibroblastic Sarcoma in the Neck

경부 피부에서 발생한 저등급 근섬유모세포 육종 증례 보고

  • Hannara, Park (Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital) ;
  • Junhyun, Lim (Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital) ;
  • Hyochun, Park (Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital) ;
  • Hyeonjung, Yeo (Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital)
  • 박한나라 (대구파티마병원 성형외과) ;
  • 임준현 (대구파티마병원 성형외과) ;
  • 박효천 (대구파티마병원 성형외과) ;
  • 여현정 (대구파티마병원 성형외과)
  • Received : 2022.03.27
  • Accepted : 2022.05.11
  • Published : 2022.11.30

Abstract

Myofibroblastic sarcoma can be classified as low-, intermediate-, and high-grade. Low-grade myofibroblastic sarcoma (LGMS) is uncommon and rarely appears on the skin. LGMS is diagnosed based on histopathological and immunohistochemical findings. Additionally, LGMS metastases are rare as well. Herein, the authors describe a case of cutaneous LGMS in the neck. To the best of our knowledge, there are no cases regarding cutaneous LGMS in the neck present in the existing literature. Surgical resection is considered as the most important treatment for LGMS. Therefore, a complete tumor resection was performed in this case. However, another mass in the uterus was identified on abdominal computed tomography performed post-surgery.

Keywords

References

  1. Mentzel T, Dry S, Katenkamp D, Fletcher CD. Low-grade myofibroblastic sarcoma: Analysis of 18 cases in the spectrum of myofibroblastic tumors. Am J Surg Pathol. 1998;22:1228-1238. https://doi.org/10.1097/00000478-199810000-00008
  2. Baranov E, Hornick JL. Soft tissue special issue: Fibroblastic and myofibroblastic neoplasms of the head and neck. Head Neck Pathol. 2020;14:43-58.
  3. Chang SE, Choi JH, Sung KJ, Moon KC, Koh JK, Lee TJ, et al. A case of cutaneous low-grade myofibroblastic sarcoma. J Dermatol. 2001;28:383-387. https://doi.org/10.1111/j.1346-8138.2001.tb00154.x
  4. Diaz-Cascajo C, Borghi S, Weyers W, Metze D. Fibroblastic/myofibroblastic sarcoma of the skin: A report of five cases. J Cutan Pathol. 2003;30:128-134.
  5. Zhang S, Ma Y, Ma T, Wang Z. Low-grade myofibroblastic sarcoma of the orbit. Medicine. 2017;96:e9172.
  6. Jain R, Singh K, Lamzabi I, Harbhajanka A, Gattuso P, Reddy VB. Myofibrosarcoma: A clinicopathologic study. Am J Clin Pathol. 2014;142:609-616. https://doi.org/10.1309/AJCPG2CFGHZ4URLN
  7. Miyazawa M, Naritaka Y, Miyaki A, Asaka S, Isohata N, Yamaguchi K, et al. A low-grade myofibroblastic sarcoma in the abdominal cavity. Anticancer Res. 2011;31:2989-2994.
  8. Coindre JM. Grading of soft tissue sarcomas: Review and update. Arch Pathol Lab Med. 2006;130:1448-1453. https://doi.org/10.5858/2006-130-1448-GOSTSR
  9. San Miguel P, Fernandez G, Ortiz-Rey JA, Larrauri P. Low-grade myofibroblastic sarcoma of the distal phalanx. J Hand Surg Am. 2004;29:1160-1163. https://doi.org/10.1016/j.jhsa.2004.05.003
  10. Kim JH, Choi WS, Cho HS, Lee KS, Park KH, Kim BK. Surgical treatment and long-term outcomes of low-grade myofibroblastic sarcoma: A single-center case series of 15 patients. World J Surg Oncol. 2021;19:1-7.
  11. Hamon J, Bourkis A, Le Toux G. Low-grade myofibroblastic sarcoma: A case report of a child. J Oral Med Oral Surg. 2019;25:25-28. https://doi.org/10.1051/mbcb/2019010
  12. Xu Y, Xu G, Wang X, Mao M, Wu H, Baklaushev VP, et al. Is there a role for chemotherapy and radiation in the treatment of patients with low-grade myofibroblastic sarcoma? Clin Transl Oncol. 2021;23:344-352.
  13. Carlson KJ, Miller BA, Fowler FJ Jr. The maine women's health study. II. Outcomes of nonsurgical management of leiomyomas, abnormal bleeding, and chronic pelvic pain. Obstet Gynecol. 1994;83:566-572. https://doi.org/10.1097/00006250-199404000-00013
  14. Agaimy A, Wunsch PH, Schroeder J, Gaumann A, Dietmaier W, Hartmann A, et al. Low-grade abdominopelvic sarcoma with myofibroblastic features (low-grade myofibroblastic sarcoma): Clinicopathological, immunohistochemical, molecular genetic and ultrastructural study of two cases with literature review. J Clin Pathol. 2008;61:301-306.