A long-term survivor of clear cell sarcoma-like tumor of the gastrointestinal tract with liver metastasis: a case report
Abstract Background Clear cell sarcoma-like tumor of the gastrointestinal tract (CCSLTGT) is extremely rare. It is a mesenchymal neoplasm that usually forms in the small intestine of adolescents and young adults, is prone to local recurrence and metastasis, and has a high mortality rate. We report a...
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Japan Surgical Society
2020-10-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-01028-z |
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| author | Takuhisa Okada Yasumitsu Hirano Shintaro Ishikawa Hiroka Kondo Toshimasa Ishii Shigeki Yamaguchi |
| author_facet | Takuhisa Okada Yasumitsu Hirano Shintaro Ishikawa Hiroka Kondo Toshimasa Ishii Shigeki Yamaguchi |
| author_sort | Takuhisa Okada |
| collection | DOAJ |
| description | Abstract Background Clear cell sarcoma-like tumor of the gastrointestinal tract (CCSLTGT) is extremely rare. It is a mesenchymal neoplasm that usually forms in the small intestine of adolescents and young adults, is prone to local recurrence and metastasis, and has a high mortality rate. We report a patient with CCSLTGT with lymph node- and liver metastases, who continues to survive 6 years after initial surgical resection. Case presentation A 38-year-old woman presented with lightheadedness. Laboratory analysis revealed anemia (hemoglobin, 6.7 g/dL), and enhanced computed tomography (CT) demonstrated a mass in the small intestine, about 6 cm in diameter, with swelling of 2 regional lymph nodes. Double-balloon small intestine endoscopic examination revealed a tumor accompanied by an ulcer; the biopsy findings suggested a primary cancer of the small intestine. She was admitted, and we then performed a laparotomy for partial resection of the small intestine with lymph node dissection. Pathologic examination revealed CCSLTGT with regional lymph node metastases. About 3 years later, follow-up CT revealed a single liver metastasis. Consequently, she underwent a laparoscopic partial liver resection. Histopathologic examination confirmed that the liver metastasis was consistent with CCSLTGT. It has now been 3 years without a recurrence. Conclusion Repeated radical surgical resection with close follow-up may be the only way to achieve long-term survival in patients with CCLSTGT. |
| format | Article |
| id | doaj-art-1d0d9e656d1f485d8cb469252570316d |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-1d0d9e656d1f485d8cb469252570316d2025-08-20T03:33:07ZengJapan Surgical SocietySurgical Case Reports2198-77932020-10-01611910.1186/s40792-020-01028-zA long-term survivor of clear cell sarcoma-like tumor of the gastrointestinal tract with liver metastasis: a case reportTakuhisa Okada0Yasumitsu Hirano1Shintaro Ishikawa2Hiroka Kondo3Toshimasa Ishii4Shigeki Yamaguchi5Department of Gastroenterological Surgery, Saitama Medical University International Medical CenterDepartment of Gastroenterological Surgery, Saitama Medical University International Medical CenterDepartment of Gastroenterological Surgery, Saitama Medical University International Medical CenterDepartment of Gastroenterological Surgery, Saitama Medical University International Medical CenterDepartment of Gastroenterological Surgery, Saitama Medical University International Medical CenterDepartment of Gastroenterological Surgery, Saitama Medical University International Medical CenterAbstract Background Clear cell sarcoma-like tumor of the gastrointestinal tract (CCSLTGT) is extremely rare. It is a mesenchymal neoplasm that usually forms in the small intestine of adolescents and young adults, is prone to local recurrence and metastasis, and has a high mortality rate. We report a patient with CCSLTGT with lymph node- and liver metastases, who continues to survive 6 years after initial surgical resection. Case presentation A 38-year-old woman presented with lightheadedness. Laboratory analysis revealed anemia (hemoglobin, 6.7 g/dL), and enhanced computed tomography (CT) demonstrated a mass in the small intestine, about 6 cm in diameter, with swelling of 2 regional lymph nodes. Double-balloon small intestine endoscopic examination revealed a tumor accompanied by an ulcer; the biopsy findings suggested a primary cancer of the small intestine. She was admitted, and we then performed a laparotomy for partial resection of the small intestine with lymph node dissection. Pathologic examination revealed CCSLTGT with regional lymph node metastases. About 3 years later, follow-up CT revealed a single liver metastasis. Consequently, she underwent a laparoscopic partial liver resection. Histopathologic examination confirmed that the liver metastasis was consistent with CCSLTGT. It has now been 3 years without a recurrence. Conclusion Repeated radical surgical resection with close follow-up may be the only way to achieve long-term survival in patients with CCLSTGT.http://link.springer.com/article/10.1186/s40792-020-01028-zClear cell sarcoma-like tumor of the gastrointestinal tractLiver metastasisLong-term survival |
| spellingShingle | Takuhisa Okada Yasumitsu Hirano Shintaro Ishikawa Hiroka Kondo Toshimasa Ishii Shigeki Yamaguchi A long-term survivor of clear cell sarcoma-like tumor of the gastrointestinal tract with liver metastasis: a case report Surgical Case Reports Clear cell sarcoma-like tumor of the gastrointestinal tract Liver metastasis Long-term survival |
| title | A long-term survivor of clear cell sarcoma-like tumor of the gastrointestinal tract with liver metastasis: a case report |
| title_full | A long-term survivor of clear cell sarcoma-like tumor of the gastrointestinal tract with liver metastasis: a case report |
| title_fullStr | A long-term survivor of clear cell sarcoma-like tumor of the gastrointestinal tract with liver metastasis: a case report |
| title_full_unstemmed | A long-term survivor of clear cell sarcoma-like tumor of the gastrointestinal tract with liver metastasis: a case report |
| title_short | A long-term survivor of clear cell sarcoma-like tumor of the gastrointestinal tract with liver metastasis: a case report |
| title_sort | long term survivor of clear cell sarcoma like tumor of the gastrointestinal tract with liver metastasis a case report |
| topic | Clear cell sarcoma-like tumor of the gastrointestinal tract Liver metastasis Long-term survival |
| url | http://link.springer.com/article/10.1186/s40792-020-01028-z |
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