Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report
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. W...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-03-01
|
| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-03837-w |
| _version_ | 1797859938714779648 |
|---|---|
| author | 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 Keiji Inoue |
| author_facet | 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 Keiji Inoue |
| author_sort | Kaya Atagi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T21:37:40Z |
| format | Article |
| id | doaj.art-2a682f10a40d4d229e33fb1db147cedf |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-09T21:37:40Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-2a682f10a40d4d229e33fb1db147cedf2023-03-26T11:12:03ZengBMCJournal of Medical Case Reports1752-19472023-03-011711510.1186/s13256-023-03837-wPrimary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case reportKaya Atagi0Takashi Karashima1Keisuke Mizutani2Hideo Fukuhara3Satoshi Fukata4Yujiro Miura5Atsuyuki Mitsuishi6Kazuhiro Hanazaki7Sunao Uemura8Ryohei Miyazaki9Takashi Anayama10Mayuka Yamane11Mizu Sakai12Mitsuko Iguchi13Kenji Yorita14Keiji Inoue15Department of Urology, Kochi Medical SchoolDepartment of Urology, Kochi Medical SchoolDepartment of Urology, Kochi Medical SchoolDepartment of Urology, Kochi Medical SchoolDepartment of Urology, Kochi Medical SchoolDepartment of Cardiovascular Surgery, Kochi Medical SchoolDepartment of Cardiovascular Surgery, Kochi Medical SchoolDepartment of Digestive Surgery, Kochi Medical SchoolDepartment of Digestive Surgery, Kochi Medical SchoolDepartment of Respirator Surgery, Kochi Medical SchoolDepartment of Respirator Surgery, Kochi Medical SchoolDepartment of Respiratory Medicine, Kochi Medical SchoolDepartment of Respiratory Medicine, Kochi Medical SchoolLaboratory of Diagnostic Pathology, Kochi Medical School HospitalDepartment of Diagnostic Pathology, Japanese Red Cross Kochi HospitalDepartment of Urology, Kochi Medical SchoolAbstract 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.https://doi.org/10.1186/s13256-023-03837-wEwing’s sarcomaAdrenal glandTumor thrombusVena cava |
| spellingShingle | 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 Keiji Inoue Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report Journal of Medical Case Reports Ewing’s sarcoma Adrenal gland Tumor thrombus Vena cava |
| title | Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report |
| title_full | Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report |
| title_fullStr | Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report |
| title_full_unstemmed | Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report |
| title_short | Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report |
| title_sort | primary adrenal ewing s sarcoma family of tumors with tumor thrombus of the inferior vena cava a case report |
| topic | Ewing’s sarcoma Adrenal gland Tumor thrombus Vena cava |
| url | https://doi.org/10.1186/s13256-023-03837-w |
| work_keys_str_mv | AT kayaatagi primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT takashikarashima primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT keisukemizutani primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT hideofukuhara primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT satoshifukata primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT yujiromiura primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT atsuyukimitsuishi primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT kazuhirohanazaki primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT sunaouemura primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT ryoheimiyazaki primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT takashianayama primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT mayukayamane primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT mizusakai primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT mitsukoiguchi primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT kenjiyorita primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport AT keijiinoue primaryadrenalewingssarcomafamilyoftumorswithtumorthrombusoftheinferiorvenacavaacasereport |