NEJM: Metastatic transparent cell sarcoma - case reports.
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Last Update: 2020-07-30
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Source: Internet
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Author: User
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The patient !---- a 62-year-old man who was treated for five months due to bloating, diarrhea and weight loss (8 kg).history of the disease, mainly 2 years ago to remove local oral transparent cell sarcoma, and no further treatment.physical examination showed swelling and bloating of the lymph nodes in the neck.abdominal computer tomography scans revealed a large number of grape-shaped nodules (shown in Figure A).the patient underwent an ultrasound-led biopsy of abdominal lesions, and histopathological analysis revealed a transparent cell sarcoma (shown in Figure B).immunohistization analysis found that S100 protein was positive and had a reaction to HMB45 monoclonal antibodies.transparent cell sarcoma is a malignant soft tissue tumor derived from neurocystcells, which is similar to malignant melanoma in morphology, immunohiscitis and superstructure.the cancer usually affects young people's limbs and rarely affects the mouth and abdominal cavity. The effectiveness of-assisted treatment is uncertain, and treatment is usually surgical excision.after four cycles of targeted treatment, the patient refused further treatment and died about 9 months after the visit..
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