Ontology highlight
ABSTRACT: Background
Murine double minute 2 (MDM2) is an oncogene that inhibits p53, leading to decreased apoptosis. Sarcomas showing MDM2 amplification are rare among pediatric patients.Case
A 14-year-old boy presented with pleomorphic sarcoma of the head showing MDM2 amplification without a well-differentiated liposarcoma component. Although chemotherapy was initially performed to reduce the tumor size before surgery, the tumor did not shrink. The patient underwent complete surgical resection. Microscopic examination revealed a positive surgical margin; thus, postoperative proton-beam radiotherapy was performed. 3 years after the therapy, no sign of recurrence was observed.Conclusion
Macroscopic surgical resection combined with adjuvant postoperative radiotherapy was effective against MDM2-amplified pleomorphic sarcoma refractory to neoadjuvant chemotherapy in a pediatric patient.
SUBMITTER: Akaihata M
PROVIDER: S-EPMC9939988 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature

Akaihata Mitsuko M Takahashi Ikuko I Kakuda Yuko Y Kawata Takuya T Mukaigawa Takashi T Onitsuka Testuro T Murayama Shigeyuki S Ishida Yuji Y
Cancer reports (Hoboken, N.J.) 20221226 2
<h4>Background</h4>Murine double minute 2 (MDM2) is an oncogene that inhibits p53, leading to decreased apoptosis. Sarcomas showing MDM2 amplification are rare among pediatric patients.<h4>Case</h4>A 14-year-old boy presented with pleomorphic sarcoma of the head showing MDM2 amplification without a well-differentiated liposarcoma component. Although chemotherapy was initially performed to reduce the tumor size before surgery, the tumor did not shrink. The patient underwent complete surgical rese ...[more]