Dedifferentiated Liposarcoma of the Gastroesophageal Junction

Liposarcoma is one of the most common sarcomas in adults, but very rarely presents as a primary in the upper gastrointestinal system. Herein, we present a 71-year-old male patient who underwent wedge excision biopsy twice and then fine needle aspiration and total gastrectomy for a recurrent gastroeo...

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Bibliographic Details
Main Authors: Gökçe AŞKAN, Pelin BAĞCI, Meera HAMEED, Olca BAŞTÜRK
Format: Article
Language:English
Published: Federation of Turkish Pathology Societies 2018-01-01
Series:Türk Patoloji Dergisi
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Online Access:http://www.turkjpath.org/pdf.php3?id=1735
Description
Summary:Liposarcoma is one of the most common sarcomas in adults, but very rarely presents as a primary in the upper gastrointestinal system. Herein, we present a 71-year-old male patient who underwent wedge excision biopsy twice and then fine needle aspiration and total gastrectomy for a recurrent gastroeosophageal junction mass. In microscopic sections, both well-differentiated and dedifferentiated components were seen. Tumor cells were positive for MDM2, CDK4 and negative for CD117, DOG1, CD34, SMA, Desmin, S-100, HMB45, SOX10, AE1/AE3, CAM5.2, CK18. Fluorescence in situ hybridization (FISH) was performed and MDM2 gene (12q15) amplification was detected. According to these findings, a diagnosis of dedifferentiated liposarcoma was supported. We believe this is the first reported case of dedifferentiated liposarcoma of the gastroesophageal junction.
ISSN:1018-5615
1309-5730