Sarcoma fibromixoide de baixo grau em região paratesticular

A case report

Authors

DOI:

https://doi.org/10.15448/1980-6108.2022.1.43540

Keywords:

sarcoma, pathology, urology

Abstract

Objectives: to report a rare case of low-grade fibromyxoid sarcoma (LGFMS) in an unusual location in order to reinforce histopathological and immunohistochemical aspects relevant to the recognition of this entity and the adequate differential diagnosis of paratesticular masses. 
Case report: 20-year-old man, with a right scrotal mass and histopathological analysis showing the presence of fibrous tissue with myxoid areas and a predominance of spindle cells. Immunohistochemistry was positive for vimentin, with a Ki67 index of 2%, and negative for S100, CD-34, beta-catenin, desmin and myogenin. 
Conclusions: rare case of LGFMS in the paratesticular region that reinforces the importance of histopathology and immunohistochemistry in the diagnosis of this tumor. Despite the benign histological characteristic, LGFMS has high rates of recurrence and metastasis, and patient follow-up is essential.

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Author Biographies

Vinícius Gonçalves de Souza, Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil.

Acadêmico de medicina pela Universidade Federal de Jataí (UFJ), em Jataí, GO, Brasil.

Aparecida de Lourdes Carvalho, Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil.

Mestre em Ciências Aplicadas à Saúde pela Universidade Federal de Jataí (UFJ), em Jataí, GO, Brasil; médica patologista. Professora da UFJ, em Jataí, GO, Brasil. 

Carla Silva Siqueira Miranda, Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil.

Doutora em Patologia e Estomatologia Básica pela Universidade de São Paulo (USP), em São Paulo, SP, Brasil; cirurgiã-dentista. Professora da Universidade Federal de Jataí (UFJ), em Jataí, GO, Brasil.

References

Unlü Y, Huq GE, Ozyalvaçli G, et al. Paratesticular sarcomas: a report of seven cases. Oncol Lett. 2015;9(1):308-12. https://doi.org/10.3892/ol.2014.2629 DOI: https://doi.org/10.3892/ol.2014.2629

Smith ZL, Werntz RP, Eggener SE. Testicular Cancer: Epidemiology, Diagnosis, and Management. Med Clin North Am. 2018;102(2):251-64. https://doi.org/10.1016/j.mcna.2017.10.003 DOI: https://doi.org/10.1016/j.mcna.2017.10.003

Soosay GN, Parkinson MC, Paradinas J, Fisher C. Paratesticular sarcomas revisited: a review of cases in the British Testicular Tumour Panel and Registry. Br J Urol. 1996;77(1):143-6. https://doi.org/10.1046/j.1464-410x.1996.84925.x DOI: https://doi.org/10.1046/j.1464-410X.1996.84925.x

Mohamed M, Fisher C, Thway K. Low-grade fibromyxoid sarcoma: Clinical, morphologic and genetic features. Ann Diagn Pathol. 2017;28:60-7. https://doi.org/10.1016/j.anndiagpath.2017.04.001 DOI: https://doi.org/10.1016/j.anndiagpath.2017.04.001

Evans HL. Low-grade fibromyxoid sarcoma. A report of two metastasizing neoplasms having a deceptively benign appearance. Am J Clin Pathol. 1987;88(5):615-9. https://doi.org/10.1093/ajcp/88.5.615 DOI: https://doi.org/10.1093/ajcp/88.5.615

Lane KL, Shannon RJ, Weiss SW. Hyalinizing spindle cell tumor with giant rosettes: a distinctive tumor closely resembling low-grade fibromyxoid sarcoma. Am J Surg Pathol. 1997;21(12):1481-8. https://doi.org/10.1097/00000478-199712000-00011 DOI: https://doi.org/10.1097/00000478-199712000-00011

Rekhi B, Deshmukh M, Jambhekar NA. Low-grade fibromyxoid sarcoma: a clinicopathologic study of 18 cases, including histopathologic relationship with sclerosing epithelioid fibrosarcoma in a subset of cases. Ann Diagn Pathol. 2011;15(5):303-11. https://doi.org/10.1016/j.anndiagpath.2011.02.005 DOI: https://doi.org/10.1016/j.anndiagpath.2011.02.005

Kurisaki-Arakawa A, Suehara Y, Arakawa A, et al. Deeply located low-grade fibromyxoid sarcoma with FUS-CREB3L2 gene fusion in a 5-year-old boy with review of literature. Diagn Pathol. 2014;9:163. https://doi.org/10.1186/s13000-014-0163-2 DOI: https://doi.org/10.1186/s13000-014-0163-2

Billings SD, Giblen G, Fanburg-Smith JC. Superficial low-grade fibromyxoid sarcoma (Evans tumor): a clinicopathologic analysis of 19 cases with a unique observation in the pediatric population. Am J Surg Pathol. 2005;29(2):204-10. https://doi.org/10.1097/01.pas.0000146014.22624.8e DOI: https://doi.org/10.1097/01.pas.0000146014.22624.8e

Abe Y, Hashimoto I, Nakanishi H. Recurring facial low-grade fibromyxoid sarcoma in an elderly patient: a case report. J Med Invest. 2012;59(3-4):266-9. https://doi.org/10.2152/jmi.59.266 DOI: https://doi.org/10.2152/jmi.59.266

Mendoza AS, O’Leary MP, Peng S-K, Petrie BA, Li AI, French SW. Low-grade fibromyxoid sarcoma of the sigmoid colon. Exp Mol Pathol. 2015;98(2):300-3. https://doi.org/10.1016/j.yexmp.2015.02.007 DOI: https://doi.org/10.1016/j.yexmp.2015.02.007

Alevizopoulos A, Mygdalis V, Tyritzis S, Stravodimos K, Constantinides CA. Low-grade fibromyxoid sarcoma of the renal pelvis: first report. Case Rep Nephrol Urol. 2012;2(2):87-91. https://doi.org/10.1159/000341191 DOI: https://doi.org/10.1159/000341191

Evans HL. Low-grade fibromyxoid sarcoma: a clinicopathologic study of 33 cases with long-term follow-up. Am J Surg Pathol. 2011;35(10):1450-62. https://doi.org/10.1097/PAS.0b013e31822b3687 DOI: https://doi.org/10.1097/PAS.0b013e31822b3687

Baspinar S, Kapucuoglu N, Akdeniz R, Oksay T, Guzel A, Kocer M. Paratesticular myxofibrosarcoma. Indian J Pathol Microbiol. 2014;57(3):503-4. https://doi.org/10.4103/0377-4929.138805 DOI: https://doi.org/10.4103/0377-4929.138805

Raza A, Ankur, Ashutosh, Ranjan. Paratesticular sarcoma mimicking as left sided traumatic hematocele: a case report. J Evol Med Dent Sci. 2015;4(70):12262-6. https://doi.org/10.14260/jemds/2015/1769 DOI: https://doi.org/10.14260/jemds/2015/1769

Wu X, Petrovic V, Torode IP, Chow CW. Low grade fibromyxoid sarcoma: problems in the diagnosis and management of a malignant tumour with bland histological appearance. Pathology. 2009;41(2):155-60. https://doi.org/10.1080/00313020802579276 DOI: https://doi.org/10.1080/00313020802579276

Khoubehi B, Mishra V, Ali M, Motiwala H, Karim O. Adult paratesticular tumours. BJU Int. 2002;90(7):707-15. doi:10.1046/j.1464-410x.2002.02992.x DOI: https://doi.org/10.1046/j.1464-410X.2002.02992.x

Ozkan B, Ozgüroğlu M, Ozkara H, Durak H, Talat Z. Adult paratesticular myxofibrosarcoma: report of a rare entity and review of the literature. Int Urol Nephrol. 2006;38(1):5-7. https://doi.org/10.1007/s11255-005-0255-8 DOI: https://doi.org/10.1007/s11255-005-0255-8

Doyle LA, Möller E, Dal Cin P, Fletcher CDM, Mertens F, Hornick JL. MUC4 is a highly sensitive and specific marker for low-grade fibromyxoid sarcoma. Am J Surg Pathol. 2011;35(5):733-41. https://doi.org/10.1097/PAS.0b013e318210c268 DOI: https://doi.org/10.1097/PAS.0b013e318210c268

Mastoraki A, Strigkos T, Tatakis F-P, Christophi A, Smyrniotis V. Recurrent Low-Grade Fibromyxoid Sarcoma of the Neck: Report of a Case and Review of the Literature. Indian J Surg Oncol. 2015;6(3):296-9. https://doi.org/10.1007/s13193-015-0429-5 DOI: https://doi.org/10.1007/s13193-015-0429-5

Published

2022-12-16

How to Cite

Souza, V. G. de, Carvalho, A. de L., & Miranda, C. S. S. (2022). Sarcoma fibromixoide de baixo grau em região paratesticular: A case report. Scientia Medica, 32(1), e43540. https://doi.org/10.15448/1980-6108.2022.1.43540

Issue

Section

Case Reports