Marchac A, Picard A, Landman-Parker J, Larroquet M, Vazquez M-P, Franchi G
Service de chirurgie maxillofaciale et plastique, APHP, hôpital d'enfants Armand-Trousseau, 75012 Paris, France.
Rev Stomatol Chir Maxillofac. 2007 Dec;108(6):547-50. doi: 10.1016/j.stomax.2007.09.002. Epub 2007 Oct 26.
Alveolar Soft Part Sarcoma (ASPS) is a rare malignant tumor arising from skeletal muscles and occurring usually in young adults. It is a solid chemo resistant tumor. At time of diagnosis the disease is usually advanced and lung metastasis are present in 65% of the cases. The translocation (X; 17), producing an ASPL-TFE3 transcript fusion which is detected on tumoral cells wall, is specific of ASPS. The curative treatment is surgical.
We report the case of a child with an ASPS of the tongue and lung metastasis.
This report presents two particularities. Firstly this type of sarcoma is very exceptional in a 2-year-old child. Secondly ASPS is not usually susceptible to chemotherapy.
肺泡软组织肉瘤(ASPS)是一种罕见的起源于骨骼肌的恶性肿瘤,通常发生于年轻人。它是一种实体性化疗耐药肿瘤。在诊断时,该疾病通常已进展,65%的病例存在肺转移。导致ASPL-TFE3转录本融合的(X;17)易位可在肿瘤细胞壁上检测到,是ASPS的特异性表现。根治性治疗是手术治疗。
我们报告一例患有舌部ASPS并伴有肺转移的儿童病例。
本报告呈现出两个特点。首先,这种类型的肉瘤在一名2岁儿童中非常罕见。其次,ASPS通常对化疗不敏感。