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首页> 外文期刊>Head and neck: Journal for the sciences and specialities of the head and neck >Leiomyosarcoma of the larynx as a local relapse of squamous cell carcinoma--report of an unusual case.
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Leiomyosarcoma of the larynx as a local relapse of squamous cell carcinoma--report of an unusual case.

机译:平滑肌肉瘤的喉局部复发鳞状细胞癌,报告一个不寻常的的情况。

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BACKGROUND: The authors report on leiomyosarcoma after previously treated squamous cell carcinoma (SCC) at the glottis. METHODS: Primary tumor and relapses were investigated morphologically, immunohistochemically, and with molecular methods. RESULTS: The SCC was typical, but few cells showed a spindle-shaped pattern. The relapse tumor was a spindle-shaped and epitheloid tumor with the morphological and immunohistochemical appearance of leiomyosarcoma (sm-actin+, desmin+, caldesmon+, vimentin+, keratin-).The comparative genomic hybridization (CGH) revealed some gains and losses in the leiomyosarcoma. Because of altered material, the investigation failed in the primary. A fluorescence in situ hybridization (5p) focally detected 3 chromosmomal copies, corresponding to gains on 5p in CGH of leiomyosarcoma. CONCLUSION: Leiomyosarcoma after SCC is very uncommon. A connection between both seems likely in this case. Transdifferentiation, also seen in other tumors or carcinosarcomas, could be based on aberrant differentiation of a pluripotent stem cell.
机译:背景:作者报告平滑肌肉瘤此前鳞状细胞癌治疗(SCC)声门。复发了形态,免疫组织化学和分子方法。细胞表现出纺锤状模式。复发肿瘤是一个纺锤状,epitheloid肿瘤与形态免疫组织化学的平滑肌肉瘤(肌间线蛋白+ sm-actin + caldesmon +,波形蛋白+,角蛋白-)。(CGH)透露了一些收益和损失平滑肌肉瘤。调查在初选中失败。荧光原位杂交(5便士)信用证欺诈发现3 chromosmomal册,对应收益5 p CGH平滑肌肉瘤。平滑肌肉瘤在鳞状细胞癌非常罕见。似乎在这之间的联系的情况。可以基于肿瘤或癌肉瘤异常分化的多能干细胞细胞。

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