A rare case of fascicular spindle cell sarcoma of neck: a malignant peripheral nerve sheath tumor

Authors

  • Urvishkumar B. Khatri Department of General Surgery, Smt NHL Municipal College SVPIMSR, Ahmedabad, Gujarat, India
  • Kirit D. Parmar Department of General Surgery, Smt NHL Municipal College SVPIMSR, Ahmedabad, Gujarat, India
  • Sameer G. Parikh Department of General Surgery, Smt NHL Municipal College SVPIMSR, Ahmedabad, Gujarat, India
  • Parin A. Patel Department of General Surgery, Smt NHL Municipal College SVPIMSR, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20241753

Keywords:

MPNST, Neck swelling Neurofibromatosis type-1, Sarcoma

Abstract

Malignant peripheral nerve sheath tumor-MPNST is rare type of sarcoma making 5% to 10% of sarcoma cases. It grows in the soft tissue of the body and MPNST is sarcoma of cells of sheath that making coverings of peripheral nerve. It is more common in people with genetic condition called neurofibromatosis type-1. Here we report a case of 14-year-old male with right sided neck swelling in the last 5 years without any inflammatory signs. On radiological investigation benign soft tissue tumor- nerve sheath origin was found. We posted patient for Excision of tumor and we found highly vascular friable mass which is excised completely. On histological examination fascicular spindle cell sarcoma found. On reference to oncologist PET-CT was done suggested of no residual growth or metastasis. There is no recurrence till date in our patient.

References

Malignant Peripheral Nerve Sheath Tumor. Available at: https://www.cancer.gov/pediatric-adult-rare-tumor/rare-tumors/rare-soft-tissue tumors/mpnst. Accessed on 16 January2024.

Zou C, Smith Kd, Liu J. Clinical, Pathological, And Molecular Variables Predictive Of Malignant Peripheral Nerve Sheath Tumor Outcome. Ann Surg. 2009;249:1014-22.

Stucky Cc, Johnson Kn, Gray Rj, Pockaj Ba, Ocal It, Rose Ps, Wasif N et al. Malignant Peripheral Nerve Sheath Tumors (Mpnst): The Mayo Clinic Experience. Ann Surg Oncol. 2012;19:878-85.

Prudner Bc, Ball T, Rathore R, Hirbe Ac: Diagnosis and Management of Malignant Peripheral Nerve Sheath Tumors: Current Practice and Future Perspectives. Neuro Oncol Adv. 2020;2:I40-9.

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Published

2024-06-27

Issue

Section

Case Reports