Rhabdomyosarcoma arising in mediastinal teratoma in an adult man: a case report

We report a case of rhabdomyosarcoma which occurred in a mediastinal teratoma in a 44-year-old man. Presentation symptoms were chest pain, hoarseness and a cough. Diagnosis was fortuitous, performed by the histological and immunohistochemical study of a mediastinal tumour biopsy specimen that showed...

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Veröffentlicht in:Annals of oncology 2002-02, Vol.13 (2), p.323-326
Hauptverfasser: OMEZZINE, N, KHOUATRA, C, LARIVE, S, FREYER, G, ISAAC-PINET, S, GERINIERE, L, DROZ, J.-P, SOUQUET, P.-J
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container_end_page 326
container_issue 2
container_start_page 323
container_title Annals of oncology
container_volume 13
creator OMEZZINE, N
KHOUATRA, C
LARIVE, S
FREYER, G
ISAAC-PINET, S
GERINIERE, L
DROZ, J.-P
SOUQUET, P.-J
description We report a case of rhabdomyosarcoma which occurred in a mediastinal teratoma in a 44-year-old man. Presentation symptoms were chest pain, hoarseness and a cough. Diagnosis was fortuitous, performed by the histological and immunohistochemical study of a mediastinal tumour biopsy specimen that showed embryonal carcinoma and yolk sac tumour components associated with the rhabdomyosarcoma. After cisplatin-based chemotherapy (bleomycin-etoposide-cisplatin), surgical resection of the residual mediastinal tumour was performed. Histological and immunohistochemical study of this tumour confirmed the presence of mature teratoma and embryonal rhabdomyosarcoma. Evolution was marked by a local extension of the mediastinal tumour, occurrence of multiple metastases and bone marrow involvement. The patient died 8 months after diagnosis despite chemotherapy and radiotherapy. A review of the literature reveals that the development of rhabdomyosarcoma in primary mediastinal teratomas is unusual in adults. The diagnostic, therapeutic and prognostic implications of such an association are reviewed.
doi_str_mv 10.1093/annonc/mdf022
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Biological and medical sciences
Dermatology
Humans
Male
Mediastinal Neoplasms - complications
Medical sciences
Pneumology
Rhabdomyosarcoma, Embryonal - etiology
Teratoma - complications
Tumors of the respiratory system and mediastinum
Tumors of the skin and soft tissue. Premalignant lesions
title Rhabdomyosarcoma arising in mediastinal teratoma in an adult man: a case report
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