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Clear Cell Sarcoma: A Rare Aggressive Tumor with Potential Diagnostic Challenge

July 10, 2018

Vol 4 | Issue 2 | July-Dec 2018 | Page 30-32 | Yash B Rabari, Nikhil Suri, D.V. Prasad, Siddharth Shah. Authors: Yash B Rabari [1], Nikhil Suri [1], D.V. Prasad [1], Siddharth Shah [1]. [1] Department of Orthopaedics, Rural Medical Collage, LoniBk, Maharashtra, India. Address of Correspondence Dr. Yash B. Rabari. 107, NRI Hostel, […]

Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

July 10, 2018

Vol 4 | Issue 2 | July-Dec 2018 | Page 27-29 | Mike Parry, Anish Patel, Rajesh Botchu, Vaiyapuri S, Desai, Jeys Lee. Authors: Mike Parry [1], Anish Patel [2], Rajesh Botchu [2], Vaiyapuri S [3], Desai [4], Jeys Lee [1]. [1] Department of Orthopedic Oncology. [2] Department of Musculoskeletal Radiology, [3] Department of pathology,The […]

Clear Cell Sarcoma: A Rare Aggressive Tumor with Potential Diagnostic Challenge

July 10, 2018

Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

July 10, 2018

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Clear Cell Sarcoma: A Rare Aggressive Tumor with Potential Diagnostic Challenge

July 10, 2018

Vol 4 | Issue 2 | July-Dec 2018 | Page 30-32 | Yash B Rabari, Nikhil Suri, D.V. Prasad, Siddharth Shah.

Authors: Yash B Rabari [1], Nikhil Suri [1], D.V. Prasad [1], Siddharth Shah [1].

[1] Department of Orthopaedics, Rural Medical Collage, LoniBk, Maharashtra, India.

Address of Correspondence
Dr. Yash B. Rabari.
107, NRI Hostel, PMT Campus, LoniBk, Tal.-Rahta, Dist.- Ahmadnagar Maharastra 413736
Email: dryash.rabari@gmail.com

Abstract

Clear cell sarcoma (CCS) is an exceedingly rare tumor of young adults with melanocytic differentiation. The exact incidence is largely unknown, although occasional case series mention CCS comprising less than 1% of all soft tissue sarcoma. CCS is a deep-seated tumor, typically involving tendons and aponeuroses. It has a predilection for lower extremities, particularly around the foot and ankle region, accounting for nearly 40% of cases. A primary dermal origin is rarer. We report a case of primary cutaneous CCS of 42 year old female located on the left popliteal fossa. Complete excision led to relief of symptoms
Keywords: Clear cell Sarcoma, Tumor, CCS

References

1. Dim DC, Cooley LD, Miranda RN. Clear cell sarcoma of tendons and aponeuroses: A review. Arch Pathol Lab Med. 2007;131:152–6.
2. Deenik W, Mooi WJ, Rutgers EJ, Peterse JL, Hart AA, Kroon BB. Clear cell sarcoma (malignant melanoma) of soft parts: A clinicopathological study of 30 cases. Cancer. 1999;86:969–75.
3. Kazakos CJ, Galanis VG, Giatromanolaki A, Verettas DA, Sivridis E. Clear cell sarcoma of the scapula. A case report and review of literature. World J SurgOncol. 2006;4:48–53. [PMC free article]
4. Hantschke M, Mentzel T, Rutten A, Palmedo G, Calonje E, Lazar AJ, et al. Cutaneous clear cell sarcoma: A clinicopathological, immunohistochemical, and molecular analysis of 12 cases emphasizing its distinction form dermal melanoma. Am J SurgPathol. 2010;34:216–22.
5. Hisaoka M, Ishida T, Kuo TT, Matsuyama A, Imamura T, Nishida K, et al. Clear cell sarcoma of soft tissue: A clinicopathological, immunohistochemical, and molecular analysis of 33 cases. Am J SurgPathol. 2008;32:452–60.
6. Patel RM, Downs-Kelly E, Weiss SW, Folpe AL, Tubbs RR, Tuthill RJ, et al. Dual-color, break-apart fluorescence in situ hybridization for EWS gene rearrangement distinguishes clear cell sarcoma of soft tissue from malignant melanoma. Mod Pathol. 2005;18:1585–90.
7. Rodriguez-Martin M, Saez- Rodriguez M, Esquivel B, Gonzalez RS, Cabrera AN, Herrera AM. Clear cell sarcoma: A case mimicking primary cutaneous malignant melanoma. Indian J Dermatol. 2009;54:168–72.
8. Enzinger FM. Clear cell sarcoma of tendons and aponeuroses: An analysis of 21 cases. Cancer. 1965;18:1163–74.
9. Chung EB, Enzinger FM. Malignant melanoma of soft parts.A reassessment of clear cell sarcoma. Am J SurgPathol. 1983;7:405–13.

How to Cite this article: Rabari YB, Suri N, Prasad D.V, Shah S. Clear Cell Sarcoma: A Rare Aggressive Tumor with Potential Diagnostic Challenge . Journal of Bone and Soft Tissue Tumors July-Dec 2018;4(2): 30-32.

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Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

July 10, 2018

Vol 4 | Issue 2 | July-Dec 2018 | Page 27-29 | Mike Parry, Anish Patel, Rajesh Botchu, Vaiyapuri S, Desai, Jeys Lee.

Authors: Mike Parry [1], Anish Patel [2], Rajesh Botchu [2], Vaiyapuri S [3], Desai [4], Jeys Lee [1].

[1] Department of Orthopedic Oncology.
[2] Department of Musculoskeletal Radiology,
[3] Department of pathology,The Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, UK
[4] Department of Surgery, The Queen Elizabeth Hospital, Birmingham, UK

Address of Correspondence
Dr. Rajesh Botchu
Department of Musculoskeletal Radiology, The Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, UK
Email: drbrajesh@yahoo.com

Abstract

Whilst common in subcutaneous locations, inclusion epidermoid cysts arising from the pelvic bones are extremely rare. We report the case of a patient presenting with coccydynia and altered bowel habit who, following investigation was found to have a large cystic lesion of the sacrum with extending anteriorly into the presacral tissue resulting in compression of the rectum. The lesion was treated by surgical resection, sacrificing the lower sacral nerve roots. Histology confirmed an epidermoid cyst. Whilst a rare presenting symptom, careful assessment of the patient presenting with coccydynia and altered bowel function must raise the suspicion of a sacral pathology that demands further investigation.
Keywords: sacral epidermoid cyst, rare presentation

References

1. Handa U, Kumar S, Mohan H. Aspiration cytology of epidermoid cyst of terminal phalanx. Diagn Cytopathol. 2002;26(4):266–7.
2. Adachi H, Yoshida H, Yumoto T, Naniwa S, Okuno M, Morimoto K, et al. Intraosseous epidermal cyst of the sacrum. A case report. Acta Pathol Jpn. 1988;38(12):1561–4.
3. Muellner T, Nicolic A, Lang S, Schabus R, Kwasny O. Epidermoid cyst after arthroscopic knee surgery. Arthroscopy. 1998;14(3):331–4.
4. Ettinger RL, Manderson RD. Implantation keratinizing epidermoid cysts. A review and case history. Oral Surg Oral Med Oral Pathol. 1973;36(2):225–30.
5. Musharrafieh RS, Tawil AN, Saghieh SS, Macari G, Atiyeh BS. Epidermoid cyst of the thumb. Orthopedics. 2002;25(8):862–3.
6. Zadek I, Cohen HG. Epidermoid cyst of the terminal phalanx of a finger; with a review of the literature. Am J Surg. 1953;85(6):771–4.
7. Vion-Dury J, Vincentelli F, Jiddane M, Van Bunnen Y, Rumeau C, Grisoli F, et al. MR imaging of epidermoid cysts. Neuroradiology. 1987;29(4):333–8.
8. Epstein WL, Kligman AM. Epithelial cysts in buried human skin. AMA Arch Derm. 1957;76(4):437–45.
9. Jaiswal A, Shetty AP, Rajasekaran S. Precoccygeal epidermal inclusion cyst presenting as coccygodynia. Singapore Med J. 2008;49(8):e212–4.

How to Cite this article: Parry M, Patel A, Botchu R, Vaiyapuri S, Desai, Jeys L. Interosseous Epidermoid Inclusion Cyst of the Sacrum: A Case Report. Journal of Bone and Soft Tissue Tumors July-Dec 2018;4(2): 27-29.

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Clear Cell Sarcoma: A Rare Aggressive Tumor with Potential Diagnostic Challenge

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Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

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Clear Cell Sarcoma: A Rare Aggressive Tumor with Potential Diagnostic Challenge

Authors: Yash B Rabari [1], Nikhil Suri [1], D.V. Prasad [1], Siddharth Shah [1].

Abstract

References

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Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

Authors: Mike Parry [1], Anish Patel [2], Rajesh Botchu [2], Vaiyapuri S [3], Desai [4], Jeys Lee [1].

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Authors: Yash B Rabari [1], Nikhil Suri [1], D.V. Prasad [1], Siddharth Shah [1].

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Authors: Mike Parry [1], Anish Patel [2], Rajesh Botchu [2], Vaiyapuri S [3], Desai [4], Jeys Lee [1].

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Journal of Bone and Soft Tissue Tumors (JBST) Editorial Office

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