Peripheral Primitive Neuroectodermal Tumor with Osseous Component of the Small Bowel Mesentery: A Case Study
±èÁعÌ, ÁÖ¿µÃ¤, ÃÖâȯ, ±è·ç½Ã¾Æ, ÃÖ¼®Áø, ¹ÚÀμ, ÇÑÁö¿µ, ±è°æ·¡, ÃÖÀ±¶ó, ±èÅÂÀº,
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±èÁØ¹Ì ( Kim Joon-Mee )
Inha University Hospital Department of Pathology
ÁÖ¿µÃ¤ ( Chu Young-Chae )
Inha University Hospital Department of Pathology
ÃÖâȯ ( Choi Chang-Hwan )
Inha University Hospital Department of Pathology
±è·ç½Ã¾Æ ( Kim Lucia )
Inha University Hospital Department of Pathology
ÃÖ¼®Áø ( Choi Suk-Jin )
Inha University Hospital Department of Pathology
¹ÚÀμ ( Park In-Suh )
Inha University Hospital Department of Pathology
ÇÑÁö¿µ ( Han Jee-Young )
Inha University Hospital Department of Pathology
±è°æ·¡ ( Kim Kyung-Rae )
Inha University Hospital Department of Surgery
ÃÖÀ±¶ó ( Choi Yoon-La )
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Pathology
±èÅÂÀº ( Kim Tae-Eun )
Gachon University of Medicine and Science Department of Pathology
KMID : 0357920130470010077
Abstract
A case of peripheral primitive neuroectodermal tumor of the small bowel mesentery with osseous component is reported. A 23-year-old man was admitted to our hospital because of acute severe abdominal pain. Abdominal computed tomography revealed a large solid and cystic, oval shaped mass, measuring 11.0¡¿6.0 cm in the pelvic cavity. Histologically the resected lesion consisted of sheets of undifferentiated small round cells forming Homer-Wright rosettes and perivascular pseudorosettes, and showed areas of osteoid and bone formation. Immunohistochemical studies revealed that tumor cells expressed positivity against CD99 (MIC2), CD57, neuron-specific enolase, and vimentin. Fluorescence in situ hybridization study revealed Ewing sarcoma breakpoint region 1 (EWSR1) gene rearrangement on chromosome 22q12. To the authors¡¯ knowledge this is the first documentation of a peripheral neuroectodermal tumor with osteoid and bone formation of the small bowel mesentery.
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Neuroectodermal tumor; primitive; peripheral; Intestine; small; Osteogenesis; Metaplasia; EWSR1
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