2006
DOI: 10.1002/pbc.20787
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Primary malignant peripheral nerve sheath tumor of the lung in a young child without neurofibromatosis type 1

Abstract: Malignant peripheral nerve sheath tumors (MPNST) are uncommon in children and almost half of the cases occur in patients with neurofibromatosis 1 (NF1). We report a child with a primary MPNST of the lung without NF1. MPNST of the lung has similar clinical and radiologic characteristics as pleuropulmonary blastoma. We suggest to include MPNST of the lung in the differential diagnosis of intrapulmonary masses in children.

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Cited by 9 publications
(6 citation statements)
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“…Our patient had a tumor huge in size compared to those of previous reports with multiple pleural nodules suggesting metastasis at diagnosis, which indicates delayed diagnosis despite her NF1 stigmata. It is well known that MPNST associated with NF1 shows a poor response to chemotherapy or radiotherapy and the prognosis with residual tumor or metastasis is dismal [1, 2, 18]. Although doxorubicin/ifosfamide- (AI-) based chemotherapy is known to be somewhat effective for adult MPNST and some pediatric cases [4, 23, 24], there is no known standard chemotherapy regimen for treatment of MPNST.…”
Section: Discussionmentioning
confidence: 99%
“…Our patient had a tumor huge in size compared to those of previous reports with multiple pleural nodules suggesting metastasis at diagnosis, which indicates delayed diagnosis despite her NF1 stigmata. It is well known that MPNST associated with NF1 shows a poor response to chemotherapy or radiotherapy and the prognosis with residual tumor or metastasis is dismal [1, 2, 18]. Although doxorubicin/ifosfamide- (AI-) based chemotherapy is known to be somewhat effective for adult MPNST and some pediatric cases [4, 23, 24], there is no known standard chemotherapy regimen for treatment of MPNST.…”
Section: Discussionmentioning
confidence: 99%
“…Differential diagnosis of the solitary ground-glass nodule included primary lung cancer and an intrapulmonary neurinoma that could be related to neurofibromatosis [2]. …”
Section: Case Presentationmentioning
confidence: 99%
“…8 There are also reports of various rare sarcoma entities such as synovial sarcoma and rhabdomyosarcoma, malignant peripheral nerve sheath tumors, and lymphoma with primary localization in the lung. [9][10][11][12][13][14][15][16] Inflammatory myofibroblastic tumors (IMT) assemble from inflammatory cells, collagen, and myofibroblastic mesenchymal spindle cells. 17,18 Due to their potential for local invasion and recurrence, the IMT were reclassified as intermediary lesions of borderline malignancy in 2015.…”
Section: Introductionmentioning
confidence: 99%