Andrade Rojas Juan J, Lizardo Maria J, Hernández Pérez Alma D, Gomez Garza G, Corcuera Delgado Celso T
Faculty of Medical Sciences, Universidad de Cuenca, Cuenca, ECU.
Pathology, Instituto Nacional de Pediatría, Mexico City, MEX.
Cureus. 2025 Jun 23;17(6):e86605. doi: 10.7759/cureus.86605. eCollection 2025 Jun.
Extraskeletal myxoid chondrosarcoma is an aggressive tumor in children. Due to its low incidence and nonspecific clinical presentation, as well as its radiological and histopathological characteristics, it is considered a diagnostic challenge. Furthermore, despite the NR4A3 rearrangement being specific to this neoplasm, its evaluation is not routinely performed, as few places have the technology to characterize it. We present the case of a 12-year-old girl with extraskeletal myxoid chondrosarcoma in the right thigh associated with lung metastasis. The diagnosis was ultimately made by integrating the clinical, radiological, histopathological, and ultrastructural features of the chondroblastic differentiation.
骨外黏液样软骨肉瘤是儿童的一种侵袭性肿瘤。由于其发病率低、临床表现不特异,以及其放射学和组织病理学特征,它被认为是一个诊断挑战。此外,尽管NR4A3重排是这种肿瘤所特有的,但由于很少有地方具备对其进行特征描述的技术,因此对其评估并非常规进行。我们报告一例12岁右大腿骨外黏液样软骨肉瘤伴肺转移的女孩病例。最终通过整合软骨母细胞分化的临床、放射学、组织病理学和超微结构特征做出诊断。