A rare case of translocation (12;22) (p13;Q) in Ewing′s sarcoma

Cytogenetic or immunohistochemical studies are often required to differentiate Ewing′s sarcoma (ES) from other small round cell tumors. Herein we report a case of 13-year-old boy who presented with a large presacral lesion. Hemogram and biochemical parameters were normal except lactate dehydrogenase...

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Main Authors: S K Kousar Jahan, Mangala Gowri Mayanna, B L Kavitha, Akkamahadevi Patil, Prasanna Kumari
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2014-01-01
Series:Indian Journal of Medical and Paediatric Oncology
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Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2014;volume=35;issue=1;spage=89;epage=92;aulast=Kousar
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author S K Kousar Jahan
Mangala Gowri Mayanna
B L Kavitha
Akkamahadevi Patil
Prasanna Kumari
author_facet S K Kousar Jahan
Mangala Gowri Mayanna
B L Kavitha
Akkamahadevi Patil
Prasanna Kumari
author_sort S K Kousar Jahan
collection DOAJ
description Cytogenetic or immunohistochemical studies are often required to differentiate Ewing′s sarcoma (ES) from other small round cell tumors. Herein we report a case of 13-year-old boy who presented with a large presacral lesion. Hemogram and biochemical parameters were normal except lactate dehydrogenase showing value of 96.40/IU/L, magnetic resonance imaging of the spine showed a large mass in presacral lesion (8 cm × 7 cm × 9 cm), with destruction of the sacrum (S2 S3 and S4) with interspinal extension. Bone scan showed multiple pelvic bone lesions, radiograph of chest, ultrasound of abdomen, pelvis and electrocardiogram were within normal limits. Bone marrow was not involved. Cells from the fine needle aspirate were cultured for short term using RPMI medium and karyotype obtained showed a t(12;22)(p12;q12) instead of the classic t(11;22). Diagnosis of ES was also confirmed by studies using immunohistochemistry for MIC2 which was positive, synaptophysin was inconclusive and leukocyte common antigen, desmin negative. This case provides evidence of the importance of chromosome 22, in the etiology of the disease.
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series Indian Journal of Medical and Paediatric Oncology
spelling doaj-art-048a0bab79e74f2fb7ca567ec00118dc2025-08-20T01:51:27ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58512014-01-01351899210.4103/0971-5851.133730A rare case of translocation (12;22) (p13;Q) in Ewing′s sarcomaS K Kousar JahanMangala Gowri MayannaB L KavithaAkkamahadevi PatilPrasanna KumariCytogenetic or immunohistochemical studies are often required to differentiate Ewing′s sarcoma (ES) from other small round cell tumors. Herein we report a case of 13-year-old boy who presented with a large presacral lesion. Hemogram and biochemical parameters were normal except lactate dehydrogenase showing value of 96.40/IU/L, magnetic resonance imaging of the spine showed a large mass in presacral lesion (8 cm × 7 cm × 9 cm), with destruction of the sacrum (S2 S3 and S4) with interspinal extension. Bone scan showed multiple pelvic bone lesions, radiograph of chest, ultrasound of abdomen, pelvis and electrocardiogram were within normal limits. Bone marrow was not involved. Cells from the fine needle aspirate were cultured for short term using RPMI medium and karyotype obtained showed a t(12;22)(p12;q12) instead of the classic t(11;22). Diagnosis of ES was also confirmed by studies using immunohistochemistry for MIC2 which was positive, synaptophysin was inconclusive and leukocyte common antigen, desmin negative. This case provides evidence of the importance of chromosome 22, in the etiology of the disease.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2014;volume=35;issue=1;spage=89;epage=92;aulast=KousarCytogeneticsEwing′s sarcomakaryotype
spellingShingle S K Kousar Jahan
Mangala Gowri Mayanna
B L Kavitha
Akkamahadevi Patil
Prasanna Kumari
A rare case of translocation (12;22) (p13;Q) in Ewing′s sarcoma
Indian Journal of Medical and Paediatric Oncology
Cytogenetics
Ewing′s sarcoma
karyotype
title A rare case of translocation (12;22) (p13;Q) in Ewing′s sarcoma
title_full A rare case of translocation (12;22) (p13;Q) in Ewing′s sarcoma
title_fullStr A rare case of translocation (12;22) (p13;Q) in Ewing′s sarcoma
title_full_unstemmed A rare case of translocation (12;22) (p13;Q) in Ewing′s sarcoma
title_short A rare case of translocation (12;22) (p13;Q) in Ewing′s sarcoma
title_sort rare case of translocation 12 22 p13 q in ewing s sarcoma
topic Cytogenetics
Ewing′s sarcoma
karyotype
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2014;volume=35;issue=1;spage=89;epage=92;aulast=Kousar
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