2015
DOI: 10.1155/2015/406739
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Adipocyte-Like Differentiation in a Posttreatment Embryonal Rhabdomyosarcoma

Abstract: We describe a 16-year-old boy with rhabdomyosarcoma, consistent with embryonal subtype, of the lower extremity who received systemic neoadjuvant chemotherapy and subsequent excision. Microscopic sections of the postchemotherapy excision demonstrated diffuse, prominent, and immature adipocyte-like differentiation, in addition to skeletal muscle differentiation. Adipocyte-like differentiation was confirmed by a combination of positive Oil Red O and adipophilin immunohistochemical staining. To our knowledge, this… Show more

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“…In this scenario, tumor cells, cancer-associated fibroblasts, and cancer-associated adipocytes may together sustain cancer progression and chemo-resistance by fueling metabolism and maintaining a pro-fibrotic microenvironment downstream of low NEU1 activity. These combined features, largely depending on posttranslational modifications of glycans, appear to be common between our NPE model and human RMS, given that increased adipocytes have been detected in poorly differentiated, human metastatic or recurrent RMS, as well as in chemotherapy-treated RMS 66 68 .…”
Section: Discussionmentioning
confidence: 77%
“…In this scenario, tumor cells, cancer-associated fibroblasts, and cancer-associated adipocytes may together sustain cancer progression and chemo-resistance by fueling metabolism and maintaining a pro-fibrotic microenvironment downstream of low NEU1 activity. These combined features, largely depending on posttranslational modifications of glycans, appear to be common between our NPE model and human RMS, given that increased adipocytes have been detected in poorly differentiated, human metastatic or recurrent RMS, as well as in chemotherapy-treated RMS 66 68 .…”
Section: Discussionmentioning
confidence: 77%