Primary Ewing sarcoma of vulva, confirmed with molecular cytogenetic analysis: A rare case report with diagnostic and treatment implications.

dc.contributor.authorRekhi, Bharat
dc.contributor.authorChinnaswamy, Girish
dc.contributor.authorVora, Tushar
dc.contributor.authorShah, Sneha
dc.contributor.authorRangarajan, Venkatesh
dc.date.accessioned2016-01-14T10:20:11Z
dc.date.available2016-01-14T10:20:11Z
dc.date.issued2015-07
dc.description.abstractPrimary vulvar Ewing sarcoma (ES)/PNET is an uncommonly documented tumor, especially with molecular results. A 10-year-old girl presented with left vulvar swelling, a year ago. Her abdominopelvic ultrasound revealed a 12 cm × 8 cm sized, mixed echogenic blood-fi lled lesion in the left vulva; radiologically considered as a hematoma. Vulvectomy revealed a multinodular grey-brown tumor, microscopically comprising malignant round cells. Immunohistochemically, tumor cells diffusely expressed MIC2/ CD99 and Fli1 and subsequently displayed EWSR1 rearrangement, confi rming diagnosis of ES/PNET. Subsequently, PET-CT scan revealed residual local lesion with lung metastases. The patient was induced on EFT 2001 chemotherapy protocol. Three months after chemotherapy completion, there was no metabolically active disease on PET scan. Four months later, MRI disclosed recurrent primary and metastatic pulmonary lesions. She was planned for scar excision and adjuvant radiotherapy, but unfortunately defaulted further treatment. This forms the eighth case of primary vulvar ES/PNET confi rmed with molecular cytogenetic result, underscoring therapeutic value of objective diagnosis in such cases.en_US
dc.identifier.citationRekhi Bharat, Chinnaswamy Girish, Vora Tushar, Shah Sneha, Rangarajan Venkatesh. Primary Ewing srcoma of vulva, confirmed with molecular cytogenetic analysis: A rare case report with diagnostic and treatment implications. Indian Journal of Pathology & Microbiology. 2015 Jul-Sept 58(3): 341-344.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/170459
dc.language.isoenen_US
dc.source.urihttps://www.ijpmonline.org/article.asp?issn=0377-4929;year=2015;volume=58;issue=3;spage=341;epage=344;aulast=Rekhien_US
dc.subjectEwing sarcoma/primitive neuroectodermal tumoren_US
dc.subjectEWSR1 rearrangementen_US
dc.subjectfemale genital tract sarcomasen_US
dc.subjectvulvar tumorsen_US
dc.titlePrimary Ewing sarcoma of vulva, confirmed with molecular cytogenetic analysis: A rare case report with diagnostic and treatment implications.en_US
dc.typeArticleen_US
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