Case Report: Eighteen Month Relapse- Free Survival Following Radical Multidisciplinary Oncological Treatment in a 68-Year-Old Male Patient With Histiocytic Sarcoma

IntroductionHistiocytic Sarcoma (HS) is a rare and aggressive malignancy, and patients can present with rapid tumor growth and invasion. The optimal diagnostic and therapeutic management is unknown since only a few cases have been published. Here we report a patient with histiocytic sarcoma of the r...

Full description

Bibliographic Details
Main Authors: Stefan Wehrmann, Hagen Rudolph, Dominikus Ernst, Timo Siepmann, Dorothea Kaltofen, Mathias Hänel, Lutz Mirow
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.633215/full
_version_ 1819011364846305280
author Stefan Wehrmann
Hagen Rudolph
Dominikus Ernst
Timo Siepmann
Dorothea Kaltofen
Mathias Hänel
Lutz Mirow
author_facet Stefan Wehrmann
Hagen Rudolph
Dominikus Ernst
Timo Siepmann
Dorothea Kaltofen
Mathias Hänel
Lutz Mirow
author_sort Stefan Wehrmann
collection DOAJ
description IntroductionHistiocytic Sarcoma (HS) is a rare and aggressive malignancy, and patients can present with rapid tumor growth and invasion. The optimal diagnostic and therapeutic management is unknown since only a few cases have been published. Here we report a patient with histiocytic sarcoma of the right groin.CaseA 68 year-old male patient presented to our hospital with suspicion of a superinfected atheroma of the right groin. Computed tomography showed an abdominal tumor of unknown entity. Detailed assessment including immunohistochemically evaluation of biopsy material confirmed HS. The patient underwent radical tumor resection including compartment-resection of the right thigh. During five additional cycles of chemotherapy over a period of 1.5 years he remained relapse-free.SummaryDiagnostic work up and treatment of HS is challenging, as there is a paucity of clinical reports and lack of standard guidelines for care. In the present case report, aggressive multidisciplinary treatment resulted in good clinical outcome, however, further studies evaluating this approach in similar patients are needed.
first_indexed 2024-12-21T01:26:59Z
format Article
id doaj.art-20655ac937344c82ac88b9e691fce7b1
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-12-21T01:26:59Z
publishDate 2021-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-20655ac937344c82ac88b9e691fce7b12022-12-21T19:20:28ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-06-011110.3389/fonc.2021.633215633215Case Report: Eighteen Month Relapse- Free Survival Following Radical Multidisciplinary Oncological Treatment in a 68-Year-Old Male Patient With Histiocytic SarcomaStefan Wehrmann0Hagen Rudolph1Dominikus Ernst2Timo Siepmann3Dorothea Kaltofen4Mathias Hänel5Lutz Mirow6Department of General and Visceral Surgery, Klinikum Chemnitz gemeinnützige Gesellschaft mit beschränkter Haftung (gGmbH), Chemnitz, GermanyDepartment of General and Visceral Surgery, Klinikum Chemnitz gemeinnützige Gesellschaft mit beschränkter Haftung (gGmbH), Chemnitz, GermanyDepartment of General and Visceral Surgery, Klinikum Chemnitz gemeinnützige Gesellschaft mit beschränkter Haftung (gGmbH), Chemnitz, GermanyDepartment of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of General and Visceral Surgery, Klinikum Chemnitz gemeinnützige Gesellschaft mit beschränkter Haftung (gGmbH), Chemnitz, GermanyDepartment of Medical Oncology, Klinikum Chemnitz gemeinnützige Gesellschaft mit beschränkter Haftung (gGmbH), Chemnitz, GermanyDepartment of General and Visceral Surgery, Klinikum Chemnitz gemeinnützige Gesellschaft mit beschränkter Haftung (gGmbH), Chemnitz, GermanyIntroductionHistiocytic Sarcoma (HS) is a rare and aggressive malignancy, and patients can present with rapid tumor growth and invasion. The optimal diagnostic and therapeutic management is unknown since only a few cases have been published. Here we report a patient with histiocytic sarcoma of the right groin.CaseA 68 year-old male patient presented to our hospital with suspicion of a superinfected atheroma of the right groin. Computed tomography showed an abdominal tumor of unknown entity. Detailed assessment including immunohistochemically evaluation of biopsy material confirmed HS. The patient underwent radical tumor resection including compartment-resection of the right thigh. During five additional cycles of chemotherapy over a period of 1.5 years he remained relapse-free.SummaryDiagnostic work up and treatment of HS is challenging, as there is a paucity of clinical reports and lack of standard guidelines for care. In the present case report, aggressive multidisciplinary treatment resulted in good clinical outcome, however, further studies evaluating this approach in similar patients are needed.https://www.frontiersin.org/articles/10.3389/fonc.2021.633215/fullhistiocytic sarcoma (HS)surgical oncologic managementmultidisciplinary approachhistiocytic and dendritic cell neoplasmssarcoma – diagnosticspathology
spellingShingle Stefan Wehrmann
Hagen Rudolph
Dominikus Ernst
Timo Siepmann
Dorothea Kaltofen
Mathias Hänel
Lutz Mirow
Case Report: Eighteen Month Relapse- Free Survival Following Radical Multidisciplinary Oncological Treatment in a 68-Year-Old Male Patient With Histiocytic Sarcoma
Frontiers in Oncology
histiocytic sarcoma (HS)
surgical oncologic management
multidisciplinary approach
histiocytic and dendritic cell neoplasms
sarcoma – diagnostics
pathology
title Case Report: Eighteen Month Relapse- Free Survival Following Radical Multidisciplinary Oncological Treatment in a 68-Year-Old Male Patient With Histiocytic Sarcoma
title_full Case Report: Eighteen Month Relapse- Free Survival Following Radical Multidisciplinary Oncological Treatment in a 68-Year-Old Male Patient With Histiocytic Sarcoma
title_fullStr Case Report: Eighteen Month Relapse- Free Survival Following Radical Multidisciplinary Oncological Treatment in a 68-Year-Old Male Patient With Histiocytic Sarcoma
title_full_unstemmed Case Report: Eighteen Month Relapse- Free Survival Following Radical Multidisciplinary Oncological Treatment in a 68-Year-Old Male Patient With Histiocytic Sarcoma
title_short Case Report: Eighteen Month Relapse- Free Survival Following Radical Multidisciplinary Oncological Treatment in a 68-Year-Old Male Patient With Histiocytic Sarcoma
title_sort case report eighteen month relapse free survival following radical multidisciplinary oncological treatment in a 68 year old male patient with histiocytic sarcoma
topic histiocytic sarcoma (HS)
surgical oncologic management
multidisciplinary approach
histiocytic and dendritic cell neoplasms
sarcoma – diagnostics
pathology
url https://www.frontiersin.org/articles/10.3389/fonc.2021.633215/full
work_keys_str_mv AT stefanwehrmann casereporteighteenmonthrelapsefreesurvivalfollowingradicalmultidisciplinaryoncologicaltreatmentina68yearoldmalepatientwithhistiocyticsarcoma
AT hagenrudolph casereporteighteenmonthrelapsefreesurvivalfollowingradicalmultidisciplinaryoncologicaltreatmentina68yearoldmalepatientwithhistiocyticsarcoma
AT dominikusernst casereporteighteenmonthrelapsefreesurvivalfollowingradicalmultidisciplinaryoncologicaltreatmentina68yearoldmalepatientwithhistiocyticsarcoma
AT timosiepmann casereporteighteenmonthrelapsefreesurvivalfollowingradicalmultidisciplinaryoncologicaltreatmentina68yearoldmalepatientwithhistiocyticsarcoma
AT dorotheakaltofen casereporteighteenmonthrelapsefreesurvivalfollowingradicalmultidisciplinaryoncologicaltreatmentina68yearoldmalepatientwithhistiocyticsarcoma
AT mathiashanel casereporteighteenmonthrelapsefreesurvivalfollowingradicalmultidisciplinaryoncologicaltreatmentina68yearoldmalepatientwithhistiocyticsarcoma
AT lutzmirow casereporteighteenmonthrelapsefreesurvivalfollowingradicalmultidisciplinaryoncologicaltreatmentina68yearoldmalepatientwithhistiocyticsarcoma