Metastasis of soft tissue sarcomas in lymph node: A cytomorphological study

Gandhi, Jahnavi; Mehta, Shailee; Patel, Trupti; Gami, Amisha; Shah, Majal; Jetly, Dhaval

doi:10.1002/dc.23754

Cited by 19 publications

(14 citation statements)

References 22 publications

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“…Particularly in the diagnosis of lymph node metastases, FNAC represents an invaluable diagnostic technique, usually avoiding the need for a more invasive open biopsy. 17‐19 Even though nodal metastases are rare in soft‐tissue sarcomas, our results show a significantly higher correlation between cytology and both tumor dignity and histology in metastatic locations. The same holds true in terms of cytology‐histology correlation in recurrent tumors.…”

Section: Discussionmentioning

confidence: 59%

Diagnostic use of fine‐needle aspiration cytology and core‐needle biopsy in head and neck sarcomas

et al. 2021

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The diagnostic role of fine‐needle aspiration cytology (FNAC) and core‐needle biopsy (CNB) has not been comprehensively assessed in head and neck sarcomas. A systematic review of published cases (1990–2020) was conducted. Diagnostic performance of both FNAC/CNB to determine tumor dignity and histopathological diagnosis was calculated. One hundred and sixty‐eight cases were included for which FNAC (n = 156), CNB (n = 8), or both (n = 4) were used. Predominant histologies were skeletal muscle, chondrogenic and vascular sarcomas. FNAC correctly assessed dignity in 76.3% and histology in 45% of cases. Dignity was significantly better for vascular tumors, metastatic and recurrent specimens, and worse for chondrogenic sarcomas. CNB showed a 92% accuracy to identify dignity and 83% for histopathology. FNAC and CNB are useful methods for the diagnosis of head and neck sarcomas, particularly well‐suited in the context of recurrent or metastatic disease. The role of CNB remains largely unexplored for this indication.

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Section: Discussionmentioning

confidence: 59%

Diagnostic use of fine‐needle aspiration cytology and core‐needle biopsy in head and neck sarcomas

et al. 2021

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“…However, if UPS is located in the retroperitoneum, complete compartmental resection will produce significantly better results ( 34 , 35 ). Due to the low risk of lymphatic metastasis, routine lymph node dissection is not recommended during surgery ( 36 ). In this case, the tumor protruded into the intestinal lumen without invading the intestinal wall, and the intraoperative frozen section results showed a negative resection margin.…”

Section: Discussionmentioning

confidence: 99%

Undifferentiated Pleomorphic Sarcoma of the Duodenal Papilla: A Rare Case and Worth Discussing History

Wang

Liu²,

Hou³

et al. 2022

Front. Surg.

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BackgroundUndifferentiated pleomorphic sarcoma (UPS) is a malignant tumor that originates in the mesenchymal tissue and is common in the extremities and retroperitoneum. Primary UPS of the duodenal papilla is rare and a distinct clinical entity.Case presentationIn this report, a 48-year-old Chinese man was admitted to our hospital with symptoms of melena. The patient underwent choledochectomy and choledochaljejunostomy for obstructive jaundice 8 years before admission. Endoscopic examination after admission confirmed a mass located at the duodenal papilla. Then, the duodenal papilla and tumor resection were performed, and the histopathology report confirmed the diagnosis of UPS. The patient refused further treatment and died 2 months later due to local recurrence and intrahepatic metastasis.ConclusionsIt is rare that the mass in the duodenal papilla is diagnosed as UPS. The unpredicted behavior of these tumors warrants a careful plan considering their indolent nature and possible recurrence and metastasis. The prognosis was poor despite the early complete resection.

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“…These tumours have a different morphology depending on the differentiation of tumour and thus help of immunohistochemical (IHC) markers such as CD 10, cyclin D1 along with oestrogen receptor (ER) and progesterone receptor (PR) may be required to confirm this tumour at metastatic sites. Among the common sarcomas that metastasise to nodes (rhabdomyosarcoma, angiosarcoma, synovial sarcoma, leiomyosarcoma and, rarely, Ewing's sarcoma) ESS is probably the rarest . Although pelvic nodal metastasis does occur in ESS during disease evolution, distant nodal metastasis is unusual.…”

mentioning

confidence: 90%

Endometrial stromal sarcoma metastasis in a supraclavicular lymph node: A diagnostic conundrum on cytology

Jinkala

Gochhait

et al. 2019

Cytopathology

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Metastasis of soft tissue sarcomas in lymph node: A cytomorphological study

Abstract: FNAC plays an important role in the diagnosis of lymph node metastasis in cases of STS.

Cited by 19 publications

References 22 publications

Diagnostic use of fine‐needle aspiration cytology and core‐needle biopsy in head and neck sarcomas

Diagnostic use of fine‐needle aspiration cytology and core‐needle biopsy in head and neck sarcomas

Undifferentiated Pleomorphic Sarcoma of the Duodenal Papilla: A Rare Case and Worth Discussing History

Endometrial stromal sarcoma metastasis in a supraclavicular lymph node: A diagnostic conundrum on cytology

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