Epithelioid Sarcoma of the Spine: A Review of Literature and Case Report

Abstract

Epithelioid sarcoma is a rare malignant mesenchymal tumor that represents less than 1% of soft-tissue sarcomas. Despite its slow growth, the overall prognosis is poor with a high rate of local recurrence, lymph-node spread, and hematogenous metastasis. Primary epithelioid sarcoma arising from the spine is extremely rare, with limited data in the literature. We review the existing literature regarding spinal epithelioid sarcoma and report a case of epithelioid sarcoma arising from the spinal cord. A 54 year old male presented with a 1-month history of progressive left upper-limb weakness and numbness. Magnetic resonance imaging (MRI) of the spine showed an enhancing intramedullary mass at the level of T1 also involving the left T1 nerve root. Systemic radiological examination revealed no other lesion at presentation. Surgical excision of the mass was performed, and histology was consistent with epithelioid sarcoma of the spine. Despite adjuvant radiotherapy, there was aggressive local recurrence and development of intracranial metastatic spread. The patient died of the disease within 5 months from presentation. To the best of our knowledge, spinal epithelioid sarcoma arising from the spinal cord has not yet been reported. We review the challenges in diagnosis, surgical treatment, and oncologic outcome of this case.

Advances in H2O2-supplying materials for tumor therapy: synthesis, classification, mechanisms, and applications

“…The malignant epithelial tumors mainly include squamous carcinoma, 186 adenocarcinoma, 187 basal cell carcinoma, 188 and etc . These types of tumors usually invade and infiltrate the surrounding tissues such as nerves, 189 vessels, 190,191 and lymphatic nodes. 192 Based on these views, the main treatment for epithelial-derived tumors was intraoperative extended resection.…”