Chen YT, Yang Z, Li H, Ni CH. Clear cell sarcoma of soft tissue in pleural cavity: A case report. World J Clin Cases 2019; 7(19): 3126-3131 [PMID: 31624764 DOI: 10.12998/wjcc.v7.i19.3126]
Corresponding Author of This Article
Yang-Tian Chen, MD, PhD, Associate Professor, Consultant Cardiac Surgeon, Department of Thoracic Surgery, The Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine, 602 Eight-One-Seven Middle Road, Fuzhou 350004, Fujian Province, China. chenyt1976@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2019; 7(19): 3126-3131 Published online Oct 6, 2019. doi: 10.12998/wjcc.v7.i19.3126
Clear cell sarcoma of soft tissue in pleural cavity: A case report
Yang-Tian Chen, Zhi Yang, Huan Li, Chen-Hui Ni
Yang-Tian Chen, Huan Li, Chen-Hui Ni, Department of Thoracic Surgery, The Affiliated People Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian Province, China
Zhi Yang, Department of Pathology, The Affiliated People Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian Province, China
Author contributions: Chen YT, Li H, Ni CH were the patient’s thoracic surgeons, reviewed the literature and contributed to manuscript drafting; Yang Z performed the pathologic analyses and interpretation ; Chen YT and Ni CH were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2013), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yang-Tian Chen, MD, PhD, Associate Professor, Consultant Cardiac Surgeon, Department of Thoracic Surgery, The Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine, 602 Eight-One-Seven Middle Road, Fuzhou 350004, Fujian Province, China. chenyt1976@163.com
Telephone: +86-591-86250214
Received: March 14, 2019 Peer-review started: March 15, 2019 First decision: July 30, 2019 Revised: August 20, 2019 Accepted: August 25, 2019 Article in press: August 26, 2019 Published online: October 6, 2019 Processing time: 200 Days and 18.2 Hours
Abstract
BACKGROUND
Clear cell sarcoma (CCS) of soft tissue is a rare malignant soft tissue sarcoma usually reported to locate at distal end of extremities and rarely at trunk. Herein, we report a case of CCS in pleural cavity.
CASE SUMMARY
A 31-year-old male was admitted for an uncertain mass in left pleural cavity in routine physical examination without any symptoms. A VATS surgery was performed to remove the tumor. The pathological finding displayed a cystic mass with 6.5 cm at the longest diameter, dark red in section and cysts could be found locally. A strong expression of S-100, HMB45 and Vimentin was detected in immunohistochemical staining, which was inclined to the diagnosis of the CCS of soft tissue. The patient refused chemotherapy, radiotherapy and targeted therapy because of the personal financial situation. Follow-up computed tomography scans were done at the 90th postoperative day and the 180th postoperative day, and no obvious sign of recurrence was found till now.
CONCLUSION
CCS of soft tissue also can be found in pleural cavity although in an extremely rare incidence. Radical resection is useful to improve the prognosis.
Core tip: Clear cell sarcoma (CCS) is a rare malignant tumor of soft tissue usually arising from extremities. Now we reported a case of CCS located on the chest cavity, confirmed by the positive stain of HMB-45 and S-100 mark in immunohistochemistry. Radical resection of the tumor was performed and the short-term outcome was good.
