1. Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report
- Author
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Kaya Atagi, Takashi Karashima, Keisuke Mizutani, Hideo Fukuhara, Satoshi Fukata, Yujiro Miura, Atsuyuki Mitsuishi, Kazuhiro Hanazaki, Sunao Uemura, Ryohei Miyazaki, Takashi Anayama, Mayuka Yamane, Mizu Sakai, Mitsuko Iguchi, Kenji Yorita, and Keiji Inoue
- Subjects
Ewing’s sarcoma ,Adrenal gland ,Tumor thrombus ,Vena cava ,Medicine - Abstract
Abstract Background Ewing’s sarcoma is a malignant neoplasm that mainly occurs in skeletal tissue but can rarely arise in soft tissues. Recently, small round cell tumors (including Ewing’s sarcoma) caused by chromosomal translocations have been collectively termed Ewing’s sarcoma family of tumors. We report a rare case of primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus. Case presentation A 22-year-old Asian woman was referred to our hospital with a left retroperitoneal tumor 19 cm in diameter. Tumor thrombus was identified from the left adrenal vein to the inferior vena cava, infiltrating the right atrium. Total tumor excision with left adrenalectomy, nephrectomy, and thrombectomy was performed under hypothermic circulatory arrest, followed by seven courses of adjuvant chemotherapy. The patient has shown no signs of recurrence as of 26 months postoperatively. Conclusion Radical surgery combined with systemic chemotherapy may contribute to good prognosis in patients with primary adrenal Ewing’s sarcoma family of tumors.
- Published
- 2023
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