Skip to main content
Log in

Perianal alveolar soft-part sarcoma: a rare case

  • Case Report
  • Published:
Central European Journal of Medicine

Abstract

Background

Alveolar soft part sarcoma (ASPS) is a rare diagnosis in the perianal region.

Methods

we describe the clinical presentation, pathological findings and differential diagnosis of a rare case of perianal ASPS. We also describe the importance of the preoperative embolization of the hypervascularised masses to prevent surgical bleeding.

Conclusions

clinical and pathological findings are essential for the diagnosis, specifically by immunochemistry and molecular techniques, as the demonstration of ASPL/TFE3 fusion transcript became indispensable in some cases. Preoperative embolization of the hypervascularised masses may prevent uncontrollable surgical bleeding.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Lieberman PH, Brennan MF, Kimmel M et al. Alveolar soft-part sarcoma. A clinico-pathologic study of half a century. Cancer 1989;63:1–13

    Article  CAS  PubMed  Google Scholar 

  2. Hunter BC, Ferlito A, Devaney KO, Rinaldo A. Alveolar soft part sarcoma of the head and neck region. Ann Otol Rhinol Laryngol 1998;107:810–814

    CAS  PubMed  Google Scholar 

  3. Porter KM, Porter SR, Scully C. Lingual metastases of alveolar soft-part sarcoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1988;65:742–744

    Article  CAS  Google Scholar 

  4. Bentley RP, Wake MJC, Raafat F. Alveolar soft part sarcoma of the tongue. Br J Oral Maxillofac Surg 1999;37:451–454

    Article  CAS  PubMed  Google Scholar 

  5. Shin TH, Jung YJ, Kim OL, Kim MS. Alveolar soft part sarcoma metastasized to both the skull and the brain. J Korean Neurosurg Soc. 2012 Jul;52(1):55–57

    Article  PubMed Central  PubMed  Google Scholar 

  6. Raney RB, Donaldson MH, Sutow WW,et al: Special considerations related to primary site in rhabdomyosarcoma: Experience of the Intergroup Rhabdomyosarcoma Study 1972–76. Natl Cancer Inst Monogr 56:69–74,1981

    PubMed  Google Scholar 

  7. Enzinger FM, Shiraki M: Alveolar Rhabdomyosarcoma: An analysis of 110 cases. Cancer 24:18–31,1969

    Article  CAS  PubMed  Google Scholar 

  8. Ladanyi et al. The der(17)t(X;17)(p11;q25) of human alveolar soft part sarcoma fuses the TFE3 transcription factor gene to ASPL, a novel gene at 17q25. Oncogen 2001;20:48–57

    Article  CAS  Google Scholar 

  9. Alonso Gómez J, Membrives Obrero A, Martínez Cecilia D, Rangel Mendoza Y, Arjona Sánchez A, Roldán de la Rúa J, Valverde Martínez A, Galán Cabezas A, Rufián Peña S. Real anal leiomyoma: a case report. J Gastrointest Cancer. 2011 Mar;42(1):54–56

    Article  PubMed  Google Scholar 

  10. Casanova M, Ferrari A, Bisogno G, Cecchetto G, Basso E, De Bernardi B, Indolfi P, Fossati Bellani F, Carli M. Alveolar soft part sarcoma in children and adolescents: A report from the Soft-Tissue Sarcoma Italian Cooperative Group. Ann Oncol. 2000 Nov;11(11):1445–1449

    Article  CAS  PubMed  Google Scholar 

  11. Do Nascimento Souza KC, Faria PR, Costa IM, Duriguetto AF Jr, Loyola AM. Oral alveolar soft-part sarcoma: review of literature and case report with immunohistochemistry study for prognostic markers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Jan;99(1):64–70

    Article  PubMed  Google Scholar 

  12. Hill DA, Dehner LP, Gow KW, Pappo AS, Crawford D, Pflaumer SM, Furman WL, Hayes-Jordan AA, McDermott MB. Perianal rabdomyosarcoma presenting as a perirectal abscess: A report of 11 cases. J Pediatr Surg. 2002 Apr;37(4):576–81

    Article  PubMed  Google Scholar 

  13. Mitton B, Federman N. Alveolar soft part sarcomas: molecular pathogenesis and implications for novel targeted therapies. Sarcoma. 2012;2012:428789

    Article  PubMed Central  PubMed  Google Scholar 

  14. Weiss SW et al. Malignant soft tissue tumors of uncertain type.Enzinger and Weiss’s.Soft tissue tumors, 5th ed. Philadelphia, PA: Elsevier Mosby; 2008. P. 1182–1191

    Google Scholar 

  15. Zhang LL, Tang Q, Wang Z, Zhang XS. Alveolar soft part sarcoma of the uterine corpus with pelvic lymph node metastasis: case report and literature review. Int J Clin Exp Pathol. 2012;5(7):715–719

    PubMed Central  PubMed  Google Scholar 

  16. Ordonez N, Ladanyi, M. Alveolar soft part sarcoma. In: Fletcher CDM, Unni KK, Mertens F,editors. Pathology and Genetics of Tumours of Soft Tissue and Bone. Lyon: IARC Press, 2002:208–210

    Google Scholar 

  17. Colović N, Jurišić V, Terzić T, Jevtovic D, Colović M. Alveolar granulocytic sarcoma of the mandible in a patient with HIV. Onkologie. 2011;34(1–2):55–58

    Article  PubMed  Google Scholar 

  18. Kaori Tsuji et al. Technique for differentiating alveolar soft part sarcoma from others tumors in paraffin-embedded tissue: comparision of immunohistochemistry for TFE3 and CD-147 and of reverse transcription polymerase chain reaction for ASPSCR1-TFE3 fusion transcript. Human Pathol 2011 Aug 9

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jaime Alonso-Gómez.

About this article

Cite this article

Alonso-Gómez, J., Caro-Cuenca, M.T., Membrives-Obrero, A. et al. Perianal alveolar soft-part sarcoma: a rare case. cent.eur.j.med 9, 246–249 (2014). https://doi.org/10.2478/s11536-012-0145-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s11536-012-0145-2

Keywords

Navigation