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BCOR-CCNB3 sarcoma arising in the proximal tibia: A case report.


ABSTRACT: BCL6 corepressor-cyclin B3 (BCOR-CCNB3) fusion sarcoma was classified as an emerging subgroup of undifferentiated small round cell sarcoma in 2020. The incidence of BCOR-CCNB3 fusion sarcoma is reportedly 1.5-14% among undifferentiated unclassified sarcomas, representing a rare entity among primary malignant bone tumors. The present study reports a case of BCOR-CCNB3 fusion sarcoma in the proximal tibia of a boy. A 12-year-old boy presented with a 6-month history of knee pain and a slowly growing mass in the anteromedial aspect of the left proximal tibia. Plain radiography and computed tomography of the knee demonstrated a lytic lesion with cortical destruction of the proximal tibia. Magnetic resonance imaging showed the bone tumor expanding into soft tissue with almost homogeneous hypointensity on T1-weighted imaging and slightly hyperintensity on T2-weighted imaging. On histopathological evaluation, the tumor comprised a proliferation of small, round to ovoid-shaped mesenchymal cells without osteoid formation. Histopathologically, BCOR-CCNB3 sarcoma of bone was finally diagnosed based on immunohistochemical staining and additional molecular analyses. The patient underwent bone tumor resection followed by pre- and post-operative chemotherapy according to a Ewing sarcoma protocol. The patient showed no evidence of local recurrence or distant metastasis at 12 months after completion of adjuvant chemotherapy. We present herein an additional case of BCOR-CCNB3 sarcoma of the proximal tibia, and review the relevant literature on BCOR-CCNB3 sarcoma of bone.

SUBMITTER: Suzuki K 

PROVIDER: S-EPMC8892468 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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<i>BCOR-CCNB3</i> sarcoma arising in the proximal tibia: A case report.

Suzuki Kayo K   Yasuda Taketoshi T   Haruhara Yuki Y   Watanabe Kenta K   Nomura Keiko K   Kanamori Masahiko M   Kawaguchi Yoshiharu Y  

Molecular and clinical oncology 20220207 4


BCL6 corepressor-cyclin B3 (<i>BCOR-CCNB3</i>) fusion sarcoma was classified as an emerging subgroup of undifferentiated small round cell sarcoma in 2020. The incidence of <i>BCOR-CCNB3</i> fusion sarcoma is reportedly 1.5-14% among undifferentiated unclassified sarcomas, representing a rare entity among primary malignant bone tumors. The present study reports a case of <i>BCOR-CCNB3</i> fusion sarcoma in the proximal tibia of a boy. A 12-year-old boy presented with a 6-month history of knee pai  ...[more]

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