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[透明细胞肉瘤还是舌部胃肠道神经外胚层肿瘤(GNET)?一例极其罕见肿瘤定位的病例报告及文献复习]

[Clear cell sarcoma or gastrointestinal neuroectodermal tumor (GNET) of the tongue? Case report and review of the literature of an extremely rare tumor localization].

作者信息

Breton Sarah, Dubois Matthieu, Geay Jean-François, Gillebert Quentin, Tordjman Mickaël, Guinebretière Jean-Marc, Denoux Yves

机构信息

Service d'anatomie pathologique, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France.

Service d'ORL, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France.

出版信息

Ann Pathol. 2019 Apr;39(2):167-171. doi: 10.1016/j.annpat.2018.10.004. Epub 2018 Dec 13.

Abstract

Clear cells sarcomas (CCS) are exceptionally rare in the tongue, with, to our knowledge, only three previous reports in anglo-saxon literature. Through our case, we will discuss the differential diagnosis of clear cells tumors of the tongue and bring this tumour closer to the newly described entity of the gastrointestinal tract named "clear cells sarcoma-like gastrointestinal (SCCLGI)", recently renamed "gastrointestinal neuroectodermal tumour (GNET)". SCCLGI/GNET share morphological and molecular characteristics with SCC but had until then been observed only in the digestive tract. Our case could be a lingual localization of a SCCLGI/GNET. SCC and SCCLGI/GNET characteristic molecular profil involves EWSR1-ATF1 [t(12; 22) (q13; q12)] and EWSR1-CREB1 [t(2; 22) (q34; q12)] fusion genes, but it is not specific of these tumours.

摘要

透明细胞肉瘤(CCS)在舌部极为罕见,据我们所知,在盎格鲁-撒克逊文献中仅有三篇既往报道。通过我们的病例,我们将讨论舌部透明细胞瘤的鉴别诊断,并将这种肿瘤与最近重新命名为“胃肠道神经外胚层肿瘤(GNET)”的胃肠道新描述实体“胃肠道透明细胞肉瘤样肿瘤(SCCLGI)”联系起来。SCCLGI/GNET与SCC具有形态学和分子特征,但此前仅在消化道中观察到。我们的病例可能是SCCLGI/GNET的舌部定位。SCC和SCCLGI/GNET的特征性分子谱涉及EWSR1-ATF1 [t(12; 22) (q13; q12)]和EWSR1-CREB1 [t(2; 22) (q34; q12)]融合基因,但这并非这些肿瘤所特有。

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