Malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction: A case report

Abstract Malignant gastrointestinal neuroectodermal tumors (GNETs) are rare malignant mesenchymal neoplasms. To our knowledge, only 99 cases have been reported worldwide. The tumor has an aggressive malignancy, with a rapid progression. The histological features of GNET overlap with those of clear c...

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Main Authors: Makiko Sasaki, Mamoru Tanaka, Koki Asukai, Hiroki Koguchi, Yusuke Inoue, Mizuki Moriyama, Tetsuo Tsukahara, Takeo Kawahara, Eiji Hayashi, Yukinori Hattori, Izumi Hasegawa, Hiromi Kataoka
Format: Article
Language:English
Published: Wiley 2022-04-01
Series:DEN Open
Subjects:
Online Access:https://doi.org/10.1002/deo2.119
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author Makiko Sasaki
Mamoru Tanaka
Koki Asukai
Hiroki Koguchi
Yusuke Inoue
Mizuki Moriyama
Tetsuo Tsukahara
Takeo Kawahara
Eiji Hayashi
Yukinori Hattori
Izumi Hasegawa
Hiromi Kataoka
author_facet Makiko Sasaki
Mamoru Tanaka
Koki Asukai
Hiroki Koguchi
Yusuke Inoue
Mizuki Moriyama
Tetsuo Tsukahara
Takeo Kawahara
Eiji Hayashi
Yukinori Hattori
Izumi Hasegawa
Hiromi Kataoka
author_sort Makiko Sasaki
collection DOAJ
description Abstract Malignant gastrointestinal neuroectodermal tumors (GNETs) are rare malignant mesenchymal neoplasms. To our knowledge, only 99 cases have been reported worldwide. The tumor has an aggressive malignancy, with a rapid progression. The histological features of GNET overlap with those of clear cell sarcoma, which contain Ewing sarcoma breakpoint region 1 mutation. GNETs lack melanocyte‐specific markers, while clear cell sarcoma exhibits melanocytic differentiation. Various symptoms have been reported previously, and the most reported lesion is in the small bowel. The patient was a 69‐year‐old man who presented with abdominal pain and vomiting. Computed tomography revealed a nodule in the small bowel, which induced small intestinal obstruction. Enteroscopic images revealed a submucosal tumor. Surgery was performed, and the patient was diagnosed with GNET. Only two patients whose primary lesions were in the small intestine, including the patient in this report, have undergone enteroscopy before surgery. This is a rare case of GNET in which a patient underwent enteroscopy before surgical treatment.
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spelling doaj.art-022862490d184820a3436e7a8267bc1d2022-12-22T02:50:03ZengWileyDEN Open2692-46092022-04-0121n/an/a10.1002/deo2.119Malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction: A case reportMakiko Sasaki0Mamoru Tanaka1Koki Asukai2Hiroki Koguchi3Yusuke Inoue4Mizuki Moriyama5Tetsuo Tsukahara6Takeo Kawahara7Eiji Hayashi8Yukinori Hattori9Izumi Hasegawa10Hiromi Kataoka11Department of Gastroenterology Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Science Aichi JapanDepartment of Gastroenterology Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Gastroenterology Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Gastroenterology Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Surgery Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Surgery Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Surgery Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Surgery Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Pathology Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Gastroenterology Japan Community Health Care Organization Chukyo Hospital Aichi JapanDepartment of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Science Aichi JapanAbstract Malignant gastrointestinal neuroectodermal tumors (GNETs) are rare malignant mesenchymal neoplasms. To our knowledge, only 99 cases have been reported worldwide. The tumor has an aggressive malignancy, with a rapid progression. The histological features of GNET overlap with those of clear cell sarcoma, which contain Ewing sarcoma breakpoint region 1 mutation. GNETs lack melanocyte‐specific markers, while clear cell sarcoma exhibits melanocytic differentiation. Various symptoms have been reported previously, and the most reported lesion is in the small bowel. The patient was a 69‐year‐old man who presented with abdominal pain and vomiting. Computed tomography revealed a nodule in the small bowel, which induced small intestinal obstruction. Enteroscopic images revealed a submucosal tumor. Surgery was performed, and the patient was diagnosed with GNET. Only two patients whose primary lesions were in the small intestine, including the patient in this report, have undergone enteroscopy before surgery. This is a rare case of GNET in which a patient underwent enteroscopy before surgical treatment.https://doi.org/10.1002/deo2.119balloon enteroscopyclear cell sarcomaintestinal obstructionneuroectodermal tumorsmall intestine
spellingShingle Makiko Sasaki
Mamoru Tanaka
Koki Asukai
Hiroki Koguchi
Yusuke Inoue
Mizuki Moriyama
Tetsuo Tsukahara
Takeo Kawahara
Eiji Hayashi
Yukinori Hattori
Izumi Hasegawa
Hiromi Kataoka
Malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction: A case report
DEN Open
balloon enteroscopy
clear cell sarcoma
intestinal obstruction
neuroectodermal tumor
small intestine
title Malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction: A case report
title_full Malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction: A case report
title_fullStr Malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction: A case report
title_full_unstemmed Malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction: A case report
title_short Malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction: A case report
title_sort malignant gastrointestinal neuroectodermal tumor presenting with small intestinal obstruction a case report
topic balloon enteroscopy
clear cell sarcoma
intestinal obstruction
neuroectodermal tumor
small intestine
url https://doi.org/10.1002/deo2.119
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