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Undifferentiated (embryonal) sarcoma of the liver: Report of three cases

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Abstract

Undifferentiated (embryonal) sarcoma is a rare malignant tumor of the liver. It typically presents in late childhood and its prognosis is poor. We experienced three cases of such a tumor during the period of 1976–1989; two of these patients are still alive without disease. Each case was independently treated with a combination of surgery and preand/or postoperative chemotherapy, which was found to be effective. In one surviving patient, cyclophosphamide and vincristine were found to be effective, while in the other a combination of cisplatin, Adriamycin (ADM), vincristine and cyclophosphamide was observed to induce a rapid reduction in the size of the recurrent tumor. Thus, an adequate combination of surgery and chemotherapy may improve the prognosis of this tumor.

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References

  1. Stocker JT, Ishak KG (1978) Undifferentiated (embryonal) carcinoma of the liver. Report of 31 cases. Cancer 40:336–348

    Google Scholar 

  2. Leuschner I, Schmidt D, Harms D (1990) Undifferentiated sarcoma of the liver in childhood. Morphology, flowcytometry, and literature review. Human Pathology 21:68–76

    Google Scholar 

  3. Kinjo M, Shimokawa T, Tanaka K, Enjoji M, Arima T, Ikeda K (1980) Undifferentiated (embryonal) carcinoma of the liver. Acta Pathol Jpn 30:459–464

    Google Scholar 

  4. Harris MB, Shen S, Weiner MA, Bruckner H, Dasgupta I, Bleicher M, Fortner JG, Leleiko NS, Becker N, Rose J, Kasen L (1984) Treatment of primary undifferentiated sarcoma of the liver with surgery and chemotherapy. Cancer 54:2859–2862

    Google Scholar 

  5. Steiner M, Bostrum B, Leonard AS, Dehner LP (1989) Undifferentiated (embryonal) sarcoma of the liver. A clinicopathologic study of a survivor treated with combined technique therapy. Cancer 64:1318–1322

    Google Scholar 

  6. Smithson WA, Telande RL, Carney JA (1982) Mesenchymoma of the liver in childhood. 5-year survival after combined modality treatment. J Pediatr Surg 17:70–72

    Google Scholar 

  7. Horowitz ME, Etcubanas E, Webber BL (1987) Hepatic undifferentiated (embryonal) sarcoma and rhabdomyosarcoma in children. Results of therapy. Cancer 59:396–402

    Google Scholar 

  8. Perilongo G, Carli M, Sainati L (1987) Undifferentiated (embryonal) sarcoma of the liver in childhood. Results of a retrospective Italian study. Tumori 73:213–217

    Google Scholar 

  9. Ware R, Friedman HS, Filston HC (1988) Childhood hepatic mesenchymoma. Successful treatment with surgery and multiple-agent chemotherapy. Med Pediatr Oncol 16:62–65

    Google Scholar 

  10. Brodeur GM, Seeger RC, Schwab M, Varmus HE, Bishop JM (1984) Amplification of N-myc in untreated human neuroblastomas correlates with advanced disease stage. Science 224:1121–1124

    Google Scholar 

  11. Nakagawara A, Ikeda K, Tsuda T, Higashi K (1987) N-myc oncogene amplification and prognostic factors of neuroblastoma in children J Pediatr Surg 22:895–898

    Google Scholar 

  12. Freiend SH, Bernards R, Rogel JS (1986) A human DNA segment with properties of the gene that predisposes to retinoblastoma and osteosarcoma. Nature 323:643–646

    Google Scholar 

  13. Lee WH, Bookstein R, Hong F (1987) Human retinoblastoma susceptibility gene. Cloning, identification and sequence. Science 235:1394–1399

    Google Scholar 

  14. Fung YKT, Murphree AL, T'Ang A (1987) Structural evidence for the authenticity of the human retinoblastoma gene. Science 236:1657–1661

    Google Scholar 

  15. Toguchida J, Ishizaki K, Sasaki MS, Nakamura Y, Ikenaga M, Kato M, Sugimoto M, Kotoura Y, Yamamuro T (1989) Preferential mutation of paternally derived RB gene as the initial event in sporadic osteosarcoma. Nature 338:156–158

    Google Scholar 

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Kadomatsu, K., Nakagawara, A., Zaizen, Y. et al. Undifferentiated (embryonal) sarcoma of the liver: Report of three cases. Surg Today 22, 451–455 (1992). https://doi.org/10.1007/BF00308797

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