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TPM3::NTRK1重排子宫肉瘤:病例报告及文献综述

TPM3::NTRK1-rearranged uterine sarcoma: case report and literature review.

作者信息

Yang Yalan, Li Lei

机构信息

Department of Pathology, West China Second University Hospital, Sichuan University Chengdu, Sichuan, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education Chengdu, Sichuan, China.

出版信息

Int J Clin Exp Pathol. 2024 Dec 15;17(12):477-486. doi: 10.62347/PTTF8718. eCollection 2024.

DOI:10.62347/PTTF8718
PMID:39802876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11711482/
Abstract

Neurotrophic tyrosine kinase receptor (NTRK)-rearranged uterine sarcoma is a rare type of uterine sarcoma. This paper presents a case of a 49-year-old female who was admitted to the hospital due to lower abdominal pain and subsequently diagnosed with tropomyosin 3 (TPM3)::NTRK1-rearranged uterine sarcoma. To our knowledge, TPM3::NTRK1-rearranged sarcomas almost always occur in the cervix, and this is a novel case of uterine corpus occurrence. The patient received chemotherapy and radiotherapy after surgery. No recurrence or metastasis was observed after 9 months of treatment. Moreover, all reported clinicopathological features, treatment methods, and prognoses of NTRK-rearranged uterine sarcoma patients are reviewed herein.

摘要

神经营养性酪氨酸激酶受体(NTRK)重排的子宫肉瘤是一种罕见的子宫肉瘤类型。本文报告了一例49岁女性,因下腹部疼痛入院,随后被诊断为原肌球蛋白3(TPM3)::NTRK1重排的子宫肉瘤。据我们所知,TPM3::NTRK1重排的肉瘤几乎总是发生在宫颈,这是一例发生在子宫体的新病例。患者术后接受了化疗和放疗。治疗9个月后未观察到复发或转移。此外,本文还回顾了所有已报道的NTRK重排子宫肉瘤患者的临床病理特征、治疗方法和预后。

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本文引用的文献

1
[NTRK-rearranged uterine sarcoma: a clinicopathological analysis of seven cases].[NTRK重排的子宫肉瘤:7例临床病理分析]
Zhonghua Bing Li Xue Za Zhi. 2024 Feb 8;53(2):189-191. doi: 10.3760/cma.j.cn112151-20230728-00036.
2
Pan-TRK immunohistochemistry in gynaecological mesenchymal tumours: diagnostic implications and pitfalls.泛 TRK 免疫组化在妇科间叶性肿瘤中的诊断意义及陷阱。
Histopathology. 2024 Feb;84(3):451-462. doi: 10.1111/his.15082. Epub 2023 Nov 21.
3
NTRK -Rearranged Uterine Sarcomas: Clinicopathologic Features of 15 Cases, Literature Review, and Risk Stratification.NTRK 重排型子宫肉瘤:15 例临床病理特征、文献复习及风险分层。
Am J Surg Pathol. 2022 Oct 1;46(10):1415-1429. doi: 10.1097/PAS.0000000000001929. Epub 2022 Jun 20.
4
EML4-NTRK3 Fusion Cervical Sarcoma: A Case Report and Literature Review.EML4-NTRK3融合性宫颈肉瘤:一例病例报告及文献综述
Front Med (Lausanne). 2022 Apr 28;9:832376. doi: 10.3389/fmed.2022.832376. eCollection 2022.
5
Adult NTRK-rearranged spindle cell neoplasms of the viscera: with an emphasis on rare locations and heterologous elements.内脏器官的成人 NTRK 重排梭形细胞肿瘤:重点关注罕见部位和异源成分。
Mod Pathol. 2022 Jul;35(7):911-921. doi: 10.1038/s41379-021-01005-3. Epub 2022 Feb 11.
6
NTRK-Fusion Sarcoma of the Uterine Cervix: Report of 2 Cases With Comparative Clinicopathologic Features.宫颈 NTRK 融合肉瘤:2 例病例的比较临床病理特征报告。
Int J Gynecol Pathol. 2022 Nov 1;41(6):642-648. doi: 10.1097/PGP.0000000000000834. Epub 2021 Oct 29.
7
Case report: -rearranged cervical sarcoma with fibrosarcoma like morphology presenting in a 13-year-old managed with a neo-adjuvant TRK-inhibitor and surgical excision.病例报告:一名13岁患者出现具有纤维肉瘤样形态的重排型宫颈肉瘤,采用新辅助TRK抑制剂和手术切除进行治疗。
Gynecol Oncol Rep. 2021 Aug 10;37:100845. doi: 10.1016/j.gore.2021.100845. eCollection 2021 Aug.
8
Basaloid Squamous Cell Carcinoma of the Uterine Cervix: Report of a Case With Molecular Analysis.宫颈基底样鳞状细胞癌:一例病例的分子分析报告。
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