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Head pleomorphic sarcoma showing murine double minute 2 amplification without a well-differentiated liposarcoma component in a pediatric patient.


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

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Publications

Head pleomorphic sarcoma showing murine double minute 2 amplification without a well-differentiated liposarcoma component in a pediatric patient.

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]

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