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Extraskeletal neuroectodermal tumour of the vagina: a single case report and review

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Abstract

A case report and review of an extraskeletal neuroectodermal tumour of the vagina.

Background

Ewing’s sarcoma (ES) and primitive neuroectodermal tumours (PNETs) account for approximately 6–10% of primary malignant bone tumours and, following osteosarcoma, are the second most common group of bone sarcomas in children. Ewing’s sarcoma rarely affects the genitourinary tract.

Case summary

We report a rare case of extraskeletal Ewing’s sarcoma diagnosed in a 47-year-old Indian woman presenting with a simple cystic lesion in the posterior wall of the vagina. The histopathology revealed a rare presentation of a primitive malignant extraskeletal neuroectodermal tumour.

Conclusion

As our PubMed review found only six previously reported cases of vaginal extraskeletal Ewing’s sarcoma. Presentation as vaginal masses helped in early disease detection.

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References

  1. Cope JU (2000) A viral aetiology of Ewing’s Sarcoma. Med Hypotheses 55(5):369–372. doi:10.1054/mehy.2000.1069

    Article  PubMed  CAS  Google Scholar 

  2. Gaona-Luviano P, Unda-Franco E, González-Jara L, Romero P, Medina-Franco H (2003) Primitive neuroectodermal tumour of the vagina. Gynecol Oncol 91(2):456–458. doi:10.1016/S0090-8258(03)00500-6

    Article  PubMed  Google Scholar 

  3. Kleinman GM, Young RH, Scully RE (1993) Primary neuroectodermal tumors of the ovary. A report of 25 cases. Am J Surg Pathol 17(8):764–778. doi:10.1097/00000478-199308000-00002

    Article  PubMed  CAS  Google Scholar 

  4. Kawauchi S, Fukuda T, Miyamoto S, Yoshioka J, Shirahama S, Saito T, Tsukamoto N (1998) Peripheral primitive neuroectodermal tumor of the ovary confirmed by CD99 immunostaining, karyotypic analysis, and RT-PCR for EWS/FLI-1 chimeric mRNA. Am J Surg Pathol 22(11):1417–1422. doi:10.1097/00000478-199811000-00013

    Article  PubMed  CAS  Google Scholar 

  5. Daya D, Lukka H, Clement PB (1992) Primitive neuroectodermal tumors of the uterus: a report of four cases. Hum Pathol 23(10):1120–1129. doi:10.1016/0046-8177(92)90030-7

    Article  PubMed  CAS  Google Scholar 

  6. Fraggetta F, Magro G, Vasquez E (1997) Primitive neuroectodermal tumour of the uterus with focal cartilaginous differentiation. Histopathology 30(5):483–485. doi:10.1046/j.1365-2559.1997.00525.x

    Article  PubMed  CAS  Google Scholar 

  7. Fukunaga M, Nomura K, Endo Y, Ushigome S, Aizawa S (1996) Carcinosarcoma of the uterus with extensive neuroectodermal differentiation. Histopathology 29(6):565–570. doi:10.1046/j.1365-2559.1996.d01-532.x

    Article  PubMed  CAS  Google Scholar 

  8. Liao X, Xin X, Lü X (2004) Primary Ewing’s sarcoma-primitive neuroectodermal tumor of the vagina. Gynecol Oncol 92(2):684–688

    Article  PubMed  Google Scholar 

  9. Petković M, Zamolo G, Muhvić D, Coklo M, Stifter S, Antulov R (2002) The first report of extra osseous Ewing’s sarcoma in the rectovaginal septum. Tumori 88(4):345–346

    PubMed  Google Scholar 

  10. McCluggage WG, Sumathi VP, Nucci MR, Hirsch M, Dal Cin P, Wells M, Flanagan AM, Fisher C (2007) Ewing family of tumours involving the vulva and vagina: report of a series of four cases. J Clin Pathol 60(6):674–680

    Article  PubMed  Google Scholar 

  11. Vang R, Taubenberger JK, Mannion CM, Bijwaard K, Malpica A, Ordonez NG, Tavassoli FA, Silver SA (2000) Primary vulvar and vaginal extraosseous Ewing’s sarcoma/peripheral neuroectodermal tumor: diagnostic confirmation with CD99 immunostaining and reverse transcriptase-polymerase chain reaction. Int J Gynecol Pathol 19(2):103–109. doi:10.1097/00004347-200004000-00002

    Article  PubMed  CAS  Google Scholar 

  12. Farley J, D O’Boyle J, Heaton J, Remmenga S (2000) Extraosseous ewing sarcoma of the vagina. Obstet Gynecol 96:832–834, 2000 by The American College of Obstetricians and Gynecologists

  13. Falk S, Alpert M (1997) Five-year survival of patients with Ewing’s sarcoma. Surg Gynecol Obstet 1967 124:319–324. doi:10.1046/j.1365-2559.1997.00525.x

    Google Scholar 

  14. Fraggetta F, Magro G, Vasquez E (1997) Primitive neuroectodermal tumour of the uterus with focal cartilaginous differentiation. Histopathology 30(5):483–485

    Google Scholar 

  15. Barbieri E, Emiliani E, Zini G et al (1990) Combined therapy of localized Ewing’s sarcoma of bone: analysis of results in 100 patients. Int J Radiat Oncol Biol Phys 19:1165–1170

    PubMed  CAS  Google Scholar 

  16. Shankar AG, Pinkerton CR, Atra A (1999) Local therapy and other factors influencing site of relapse in patients with localised Ewing’s sarcoma. United Kingdom Children’s Cancer Study Group (UKCCSG). Eur J Cancer 35(12):1698–1704. doi:10.1016/S0959-8049(99)00144-6

    Article  PubMed  CAS  Google Scholar 

  17. Grier HE, Krailo MD, Turbell VJ et al (2003) Addition of ifosfamide and etoposide to standard chemotherapy for Ewing’s sarcoma and primitive neuroectodermal tumor of bone. N Engl Med 348(8):694

    Article  CAS  Google Scholar 

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Correspondence to Alia A. Al-Hadi.

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Al-tamimi, H., Al-Hadi, A.A., Al-Khater, AH. et al. Extraskeletal neuroectodermal tumour of the vagina: a single case report and review. Arch Gynecol Obstet 280, 465–468 (2009). https://doi.org/10.1007/s00404-008-0898-7

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  • DOI: https://doi.org/10.1007/s00404-008-0898-7

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