A novel CDKN1A-JAZF1 gene fusion in low-grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar: A case report and literature review

Objective: We report a low-grade endometrial stromal sarcoma (ESS) with a novel CDKN1A-JAZF1 fusion gene arising from abdominal wall endometrioma. Case report: A 40-year-old woman presented with a 5.5-cm abdominal wall mass juxtaposed to the postoperative scar of two cesarean sections. Histologicall...

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Main Authors: Tian-Hong Zhu, Fu-Bin Zhang, Hui Yan, Wen-Ying Yu, Mei Chen, Yu-Tao Guan
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455922002960
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author Tian-Hong Zhu
Fu-Bin Zhang
Hui Yan
Wen-Ying Yu
Mei Chen
Yu-Tao Guan
author_facet Tian-Hong Zhu
Fu-Bin Zhang
Hui Yan
Wen-Ying Yu
Mei Chen
Yu-Tao Guan
author_sort Tian-Hong Zhu
collection DOAJ
description Objective: We report a low-grade endometrial stromal sarcoma (ESS) with a novel CDKN1A-JAZF1 fusion gene arising from abdominal wall endometrioma. Case report: A 40-year-old woman presented with a 5.5-cm abdominal wall mass juxtaposed to the postoperative scar of two cesarean sections. Histologically, the tumor exhibited obvious tongue-like protrusions into the surrounding tissue, showed spindle cells with multinodular growth pattern that occasionally rotate around small arteries. Immunohistochemically, the tumor cells were positive for CD10, estrogen receptor (ER), progesterone receptor (PR), negatively stained for smooth muscle actin (SMA), CD117, CyclinD1. In addition, a previously undescribed gene fusion between CDNK1A 5′ end of exon 1(NM_000389.5) and JAZF1 3′ end of exon 5 (NM_175,061,3) was reported in this case. Conclusion: This report of ESS suggesting that rapidly growing abdominal wall masses without menstruation-related should be promptly evaluated and treated aggressively. In addition, we have expanded the molecular landscape of low-grade ESS.
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spelling doaj.art-62c35ec439404c8ebe91a51b21a010ac2022-12-22T02:47:45ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592022-11-0161610821085A novel CDKN1A-JAZF1 gene fusion in low-grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar: A case report and literature reviewTian-Hong Zhu0Fu-Bin Zhang1Hui Yan2Wen-Ying Yu3Mei Chen4Yu-Tao Guan5Department of Obstetrics and Gynecology, Ningbo First Hospital, Ningbo, Zhejiang, ChinaDepartment of Obstetrics and Gynecology, Ningbo First Hospital, Ningbo, Zhejiang, ChinaDepartment of Obstetrics and Gynecology, Ningbo First Hospital, Ningbo, Zhejiang, ChinaNingbo Diagnostic Pathology Center, Ningbo, Zhejiang, ChinaDepartment of Ultrasonography, Ningbo First Hospital, Ningbo, Zhejiang, ChinaDepartment of Obstetrics and Gynecology, Ningbo First Hospital, Ningbo, Zhejiang, China; Corresponding author.Objective: We report a low-grade endometrial stromal sarcoma (ESS) with a novel CDKN1A-JAZF1 fusion gene arising from abdominal wall endometrioma. Case report: A 40-year-old woman presented with a 5.5-cm abdominal wall mass juxtaposed to the postoperative scar of two cesarean sections. Histologically, the tumor exhibited obvious tongue-like protrusions into the surrounding tissue, showed spindle cells with multinodular growth pattern that occasionally rotate around small arteries. Immunohistochemically, the tumor cells were positive for CD10, estrogen receptor (ER), progesterone receptor (PR), negatively stained for smooth muscle actin (SMA), CD117, CyclinD1. In addition, a previously undescribed gene fusion between CDNK1A 5′ end of exon 1(NM_000389.5) and JAZF1 3′ end of exon 5 (NM_175,061,3) was reported in this case. Conclusion: This report of ESS suggesting that rapidly growing abdominal wall masses without menstruation-related should be promptly evaluated and treated aggressively. In addition, we have expanded the molecular landscape of low-grade ESS.http://www.sciencedirect.com/science/article/pii/S1028455922002960Endometrial stromal sarcomaEndometriosisGene fusionCD10CDKN1A/JAZF1
spellingShingle Tian-Hong Zhu
Fu-Bin Zhang
Hui Yan
Wen-Ying Yu
Mei Chen
Yu-Tao Guan
A novel CDKN1A-JAZF1 gene fusion in low-grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar: A case report and literature review
Taiwanese Journal of Obstetrics & Gynecology
Endometrial stromal sarcoma
Endometriosis
Gene fusion
CD10
CDKN1A/JAZF1
title A novel CDKN1A-JAZF1 gene fusion in low-grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar: A case report and literature review
title_full A novel CDKN1A-JAZF1 gene fusion in low-grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar: A case report and literature review
title_fullStr A novel CDKN1A-JAZF1 gene fusion in low-grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar: A case report and literature review
title_full_unstemmed A novel CDKN1A-JAZF1 gene fusion in low-grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar: A case report and literature review
title_short A novel CDKN1A-JAZF1 gene fusion in low-grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar: A case report and literature review
title_sort novel cdkn1a jazf1 gene fusion in low grade endometrial stromal sarcoma arising from endometriosis in abdominal wall cesarean section scar a case report and literature review
topic Endometrial stromal sarcoma
Endometriosis
Gene fusion
CD10
CDKN1A/JAZF1
url http://www.sciencedirect.com/science/article/pii/S1028455922002960
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