Infantile undifferentiated sarcomas: a diagnostic and therapeutic challenge – two case reports and literature review

Background: Soft tissue undifferentiated sarcomas (STUS) are an ultra-rare and heterogenous group of mesenchymal neoplasms often lacking known genetic abnormalities with a marked vulnerability towards intensive therapy such as invasive surgery and high dose chemotherapy. Despite aggressive treatment...

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Main Authors: Aleksandra Stanio, Jakub Czarny, Sandra Rutkowska, Katarzyna Adamczewska-Wawrzynowicz, Łukasz Młynarczyk, Agnieszka Stróżyk, Katarzyna Jończyk-Potoczna, Alicja Bartkowska-Śniatkowska, Jacek Wachowiak, Katarzyna Derwich, Olga Zając-Spychała
Format: Article
Language:English
Published: Medical Journals Sweden 2025-02-01
Series:Acta Oncologica
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Online Access:https://medicaljournalssweden.se/actaoncologica/article/view/42162
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author Aleksandra Stanio
Jakub Czarny
Sandra Rutkowska
Katarzyna Adamczewska-Wawrzynowicz
Łukasz Młynarczyk
Agnieszka Stróżyk
Katarzyna Jończyk-Potoczna
Alicja Bartkowska-Śniatkowska
Jacek Wachowiak
Katarzyna Derwich
Olga Zając-Spychała
author_facet Aleksandra Stanio
Jakub Czarny
Sandra Rutkowska
Katarzyna Adamczewska-Wawrzynowicz
Łukasz Młynarczyk
Agnieszka Stróżyk
Katarzyna Jończyk-Potoczna
Alicja Bartkowska-Śniatkowska
Jacek Wachowiak
Katarzyna Derwich
Olga Zając-Spychała
author_sort Aleksandra Stanio
collection DOAJ
description Background: Soft tissue undifferentiated sarcomas (STUS) are an ultra-rare and heterogenous group of mesenchymal neoplasms often lacking known genetic abnormalities with a marked vulnerability towards intensive therapy such as invasive surgery and high dose chemotherapy. Despite aggressive treatment, they are usually associated with dismal outcomes. Case presentation: Here we describe two cases of STUS in 3-week-old and 3-month-old infants localized on the neck and the trunk area. Discussion: In both cases, the malignancy had a fatal outcome due to the toxicity of intensive therapy in one case and the progression of the disease in the other. The purpose of this report is to discuss the clinical challenges of managing infancy-related STUS such as limited treatment options and poor prognosis.
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institution Kabale University
issn 1651-226X
language English
publishDate 2025-02-01
publisher Medical Journals Sweden
record_format Article
series Acta Oncologica
spelling doaj-art-b71e379311df49f5b3c4bd37e206e4542025-02-11T07:08:47ZengMedical Journals SwedenActa Oncologica1651-226X2025-02-016410.2340/1651-226X.2025.42162Infantile undifferentiated sarcomas: a diagnostic and therapeutic challenge – two case reports and literature reviewAleksandra Stanio0Jakub Czarny1Sandra Rutkowska2Katarzyna Adamczewska-Wawrzynowicz3Łukasz Młynarczyk4Agnieszka Stróżyk5Katarzyna Jończyk-Potoczna6Alicja Bartkowska-Śniatkowska7Jacek Wachowiak8Katarzyna Derwich9Olga Zając-Spychała10Student Scientific Circle, Poznan University of Medical Sciences, PolandStudent Scientific Circle, Poznan University of Medical Sciences, PolandDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, PolandDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, PolandDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, PolandDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, PolandDepartment of Pediatric Radiology, Poznan University of Medical Sciences, PolandDepartment of Pediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, PolandDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, PolandDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, PolandDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, PolandBackground: Soft tissue undifferentiated sarcomas (STUS) are an ultra-rare and heterogenous group of mesenchymal neoplasms often lacking known genetic abnormalities with a marked vulnerability towards intensive therapy such as invasive surgery and high dose chemotherapy. Despite aggressive treatment, they are usually associated with dismal outcomes. Case presentation: Here we describe two cases of STUS in 3-week-old and 3-month-old infants localized on the neck and the trunk area. Discussion: In both cases, the malignancy had a fatal outcome due to the toxicity of intensive therapy in one case and the progression of the disease in the other. The purpose of this report is to discuss the clinical challenges of managing infancy-related STUS such as limited treatment options and poor prognosis. https://medicaljournalssweden.se/actaoncologica/article/view/42162undifferentiated sarcomainfancyprogressionaggressive chemotherapychemotherapy toxicity
spellingShingle Aleksandra Stanio
Jakub Czarny
Sandra Rutkowska
Katarzyna Adamczewska-Wawrzynowicz
Łukasz Młynarczyk
Agnieszka Stróżyk
Katarzyna Jończyk-Potoczna
Alicja Bartkowska-Śniatkowska
Jacek Wachowiak
Katarzyna Derwich
Olga Zając-Spychała
Infantile undifferentiated sarcomas: a diagnostic and therapeutic challenge – two case reports and literature review
Acta Oncologica
undifferentiated sarcoma
infancy
progression
aggressive chemotherapy
chemotherapy toxicity
title Infantile undifferentiated sarcomas: a diagnostic and therapeutic challenge – two case reports and literature review
title_full Infantile undifferentiated sarcomas: a diagnostic and therapeutic challenge – two case reports and literature review
title_fullStr Infantile undifferentiated sarcomas: a diagnostic and therapeutic challenge – two case reports and literature review
title_full_unstemmed Infantile undifferentiated sarcomas: a diagnostic and therapeutic challenge – two case reports and literature review
title_short Infantile undifferentiated sarcomas: a diagnostic and therapeutic challenge – two case reports and literature review
title_sort infantile undifferentiated sarcomas a diagnostic and therapeutic challenge two case reports and literature review
topic undifferentiated sarcoma
infancy
progression
aggressive chemotherapy
chemotherapy toxicity
url https://medicaljournalssweden.se/actaoncologica/article/view/42162
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AT katarzynaadamczewskawawrzynowicz infantileundifferentiatedsarcomasadiagnosticandtherapeuticchallengetwocasereportsandliteraturereview
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