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CPT-11 chemotherapy rescued a patient with atypical sclerosing epithelioid fibrosarcoma from emergent condition

  • Case Report
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Chinese Journal of Cancer Research

Abstract

Sclerosing epithelioid fibrosarcoma (SEF) is a rare and poorly defined variant of fibrosarcoma, but generally insensitive to chemotherapy and progresses with poor prognosis. We report the marvelous effect of irinotecan hydrochloride (CPT-11) chemotherapy in rescuing a patient with atypical SEF from emergent condition, who underwent recurrences after several treatment methods. Small dose of CPT-11 was administered to the patient, with which, the size of superficial mass (cervical lymph node) gradually decreased observed by the naked eyes in 5 days. Xray and CT image proved a marked reduction in the size of the tumor. CPT-11 is valuable for the treatment of this aggressive sarcoma. In condition of emergency caused by sarcoma oppression, administering a tolerable small dose of topoisomerase I-inhibiting drug could be a beneficial choice.

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References

  1. Ossendorf C, Studer GM, Bode B, et al. Sclerosing epithelioid fibrosarcoma: case presentation and a systematic review. Clin Orthop Relat Res 2008; 466:1485–1491.

    Article  PubMed  Google Scholar 

  2. Antonescu CR, Rosenblum MK, Pereira P, et al. Sclerosing epithelioid fibrosarcoma: a study of 16 cases and confirmation of a clinicopathologically distinct tumor. Am J Surg Pathol 2001; 25:699–709.

    Article  PubMed  CAS  Google Scholar 

  3. Karavasilis V, Seddon BM, Ashley S, et al. Significant clinical benefit of first-line palliative chemotherapy in advanced soft-tissue sarcoma: retrospective analysis and identification of prognostic factors in 488 patients. Cancer 2008; 112:1585–1591.

    Article  PubMed  Google Scholar 

  4. Minchom A, Jones RL, Fisher C, et al. Clinical benefit of second-line palliative chemotherapy in advanced soft-tissue sarcoma. Sarcoma 2010; 2010:264360.

    Article  PubMed  Google Scholar 

  5. Meis-Kindblom JM, Kindblom LG, Enzinger FM. Sclerosing epithelioid fibrosarcoma. A variant of fibrosarcoma simulating carcinoma. Am J Surg Pathol 1995; 19:979–993.

    Article  PubMed  CAS  Google Scholar 

  6. Patro BS, Frohlich R, Bohr VA, et al. WRN helicase regulates the ATRCHK1-induced S-phase checkpoint pathway in response to topoisomerase-I-DNA covalent complexes. J Cell Sci 2011; 124:3967–3979.

    Article  PubMed  CAS  Google Scholar 

  7. Zhao H, Rybak P, Dobrucki J, et al. Relationship of DNA damage signaling to DNA replication following treatment with DNA topoisomerase inhibitors camptothecin/topotecan, mitoxantrone, or etoposide. Cytometry A 2012; 81:45–51.

    PubMed  Google Scholar 

  8. Regairaz M, Zhang YM, Fu H, et al. Mus81-mediated DNA cleavage resolves replication forks stalled by topoisomerase I-DNA complexes. J Cell Biol 2011; 195:739–749.

    Article  PubMed  CAS  Google Scholar 

  9. Manita D, Toba Y, Takakusagi Y, et al. Camptothecin (CPT) directly binds to human heterogeneous nuclear ribonucleoprotein A1 (hnRNP A1) and inhibits the hnRNP A1/topoisomerase I interaction. Bioorg Med Chem 2011; 19:7690–7697.

    Article  PubMed  CAS  Google Scholar 

  10. Slatter JG, Su P, Sams JP, et al. Bioactivation of the anticancer agent CPT-11 to SN-38 by human hepatic microsomal carboxylesterases and the in vitro assessment of potential drug interactions. Drug Metab Dispos 1997; 25:1157–1164.

    PubMed  CAS  Google Scholar 

  11. Ong SY, Clarke SJ, Bishop J, et al. Toxicity of irinotecan (CPT-11) and hepato-renal dysfunction. Anticancer Drugs 2001; 12:619–625.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Chun-hua Pan.

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This work was supported by a grant from Science and Technology Committee of Guangdong (No.2010B060900093) and a grant from Educational Commission of Guangzhou (No.10A196). Contributed equally to this study.

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Pan, Ch., Han, Xq. & Li, Js. CPT-11 chemotherapy rescued a patient with atypical sclerosing epithelioid fibrosarcoma from emergent condition. Chin. J. Cancer Res. 24, 253–256 (2012). https://doi.org/10.1007/s11670-012-0253-1

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  • DOI: https://doi.org/10.1007/s11670-012-0253-1

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