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Diagnosis of primary esophageal synovial sarcoma by demonstration of t(X;18) translocation: a case report
Authors:Catherine Butori  Véronique Hofman  Rita Attias  Jerôme Mouroux  Florence Pedeutour  Paul Hofman
Affiliation:(1) Laboratory of Clinical and Experimental Pathology and Human Tissue Biobank Unit, 30 Avenue de la Voie Romaine, Louis Pasteur Hospital, 06002 Nice, France;(2) Laboratory of Solid Tumors Genetics, Centre Hospitalier Universitaire de Nice and CNRS UMR 6543, Faculté de Medecine, Nice, France;(3) Department of Thoracic Surgery, 30 Avenue de la Voie Romaine, Louis Pasteur Hospital, 06002 Nice, France
Abstract:
Synovial sarcoma (SS) is an uncommon soft tissue tumor occurring mainly in the periarticular region of the extremities of young adults. In this report, we describe a very rare occurrence of primary SS of the esophagus in a 72-year-old woman. Histologically, the tumor demonstrated biphasic morphologic findings associated with poorly differentiated areas. Tumor cells expressed vimentin, epithelial (EMA, CK7, AE1/3), bcl-2 and neuroectodermal (CD56, CD57, CD99) antigens. Differential diagnose included esophageal sarcomatoid carcinoma. Cytogenetic analysis confirmed the diagnosis of SS by identifying t(X;18) translocation. The literature of this very uncommon entity of the esophagus is reviewed.
Keywords:Oesophagus  Sarcoma  Cytogenetic  Fluorescence in situ hybridization  Sarcomatoid carcinoma
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