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原发性食管旁尤文肉瘤:1例罕见病例报告及文献复习

Primary paraesophageal Ewing's sarcoma: an uncommon case report and literature review.

作者信息

Tarazona Noelia, Navarro Lara, Cejalvo Juan Miguel, Gambardella Valentina, Pérez-Fidalgo J Alejandro, Sempere Alejo, Navarro Samuel, Cervantes Andrés

机构信息

Department of Medicine, GI and Lymphoma Unit, The Royal Marsden NHS Foundation Trust, London and Surrey, UK.

Department of Pathology, University of Valencia, Valencia, Spain.

出版信息

Onco Targets Ther. 2015 May 14;8:1053-9. doi: 10.2147/OTT.S80879. eCollection 2015.

DOI:10.2147/OTT.S80879
PMID:25999740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4437600/
Abstract

Ewing's sarcoma is a rare and highly aggressive cancer most frequently arising in people under 20 years of age. We report an uncommon case of primary paraesophageal Ewing's sarcoma in a 25-year-old male harboring the infrequent EWSR1/ERG fusion transcript with multiple splice variants coexisting in the same tumor. The patient was totally refractory to chemotherapy and died 17 months after diagnosis. We underscore the need for better understanding of the molecular pathogenesis of the disease and improved systemic therapy options.

摘要

尤因肉瘤是一种罕见且侵袭性很强的癌症,最常发生于20岁以下人群。我们报告了一例罕见的原发性食管旁尤因肉瘤病例,患者为一名25岁男性,其肿瘤中存在罕见的EWSR1/ERG融合转录本以及多种剪接变体。该患者对化疗完全耐药,诊断后17个月死亡。我们强调需要更好地了解该疾病的分子发病机制并改善全身治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/3d8be66a5f1d/ott-8-1053Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/a385f897add6/ott-8-1053Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/df7126c8311d/ott-8-1053Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/1ad1e4a96902/ott-8-1053Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/3d8be66a5f1d/ott-8-1053Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/a385f897add6/ott-8-1053Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/df7126c8311d/ott-8-1053Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/1ad1e4a96902/ott-8-1053Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58f/4437600/3d8be66a5f1d/ott-8-1053Fig4.jpg

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本文引用的文献

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Vincristine, irinotecan, and temozolomide in patients with relapsed and refractory Ewing sarcoma.长春新碱、伊立替康和替莫唑胺治疗复发或难治性尤文肉瘤患者。
Pediatr Blood Cancer. 2013 Oct;60(10):1621-5. doi: 10.1002/pbc.24621. Epub 2013 Jun 15.
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Multiple splice variants of EWSR1-ETS fusion transcripts co-existing in the Ewing sarcoma family of tumors.多种 EWSR1-ETS 融合转录本剪接变体共同存在于尤文肉瘤家族肿瘤中。
Cell Oncol (Dordr). 2013 Jun;36(3):191-200. doi: 10.1007/s13402-013-0126-8. Epub 2013 Mar 14.
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Molecular detection and targeting of EWSR1 fusion transcripts in soft tissue tumors.
定义一个特征基因表达集,负责骨肉瘤细胞亚群中癌症干细胞样特征的表达,该亚群细胞为 CADO-ES1。
Int J Mol Sci. 2018 Dec 6;19(12):3908. doi: 10.3390/ijms19123908.
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MiR-107 suppresses cell proliferation and tube formation of Ewing sarcoma cells partly by targeting HIF-1β.miR-107 通过靶向 HIF-1β 部分抑制尤文肉瘤细胞的增殖和管形成。
Hum Cell. 2018 Jan;31(1):42-49. doi: 10.1007/s13577-017-0183-9. Epub 2017 Oct 26.
软组织肿瘤中 EWSR1 融合转录本的分子检测与靶向治疗。
Med Oncol. 2013 Mar;30(1):412. doi: 10.1007/s12032-012-0412-8. Epub 2013 Jan 18.
4
PARP-1 inhibition as a targeted strategy to treat Ewing's sarcoma.聚腺苷二磷酸核糖聚合酶-1 抑制作为治疗尤文肉瘤的靶向策略。
Cancer Res. 2012 Apr 1;72(7):1608-13. doi: 10.1158/0008-5472.CAN-11-3648. Epub 2012 Jan 27.
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