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Published in: Journal of Medical Case Reports 1/2014

Open Access 01-12-2014 | Case report

Bone metastases from bladder perivascular epithelioid cell tumor – an unusual localization of a rare tumor: a case report

Authors: Giovanni Palleschi, Antonio Luigi Pastore, Salvatore Evangelista, Luigi Silvestri, Luigi Rossi, Claudio Di Cristofano, Natale Porta, Vincenzo Petrozza, Silverio Tomao, Antonio Carbone

Published in: Journal of Medical Case Reports | Issue 1/2014

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Abstract

Introduction

Perivascular epithelioid cell tumors are mesenchymal tumors composed of histologically and immunohistochemically distinctive perivascular epithelioid cells. This type of tumor is rare but bladder localization is even rarer.

Case presentation

A case of bone metastatic bladder perivascular epithelioid cell tumor in a 65-year-old Caucasian man treated with surgery and chemotherapy is described and compared with other reports in the literature.

Conclusions

The rarity of perivascular epithelioid cell tumors hinders the development of a standard therapeutic approach, and thus requires case report descriptions. There is a need for cooperative studies to enlarge the case series and establish the best treatment strategy for this rare disease.
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Literature
1.
go back to reference Folpe AL: Neoplasms with perivascular epithelioid cell differentiation (PEComas). World Health Organization Classification of Tumors. Pathology and Genetics of Tumors of Soft Tissue and Bone. Edited by: Fletcher CDM, Unni KK, Mertens F. 2002, Lyon: IARC Press, 221-222. Folpe AL: Neoplasms with perivascular epithelioid cell differentiation (PEComas). World Health Organization Classification of Tumors. Pathology and Genetics of Tumors of Soft Tissue and Bone. Edited by: Fletcher CDM, Unni KK, Mertens F. 2002, Lyon: IARC Press, 221-222.
2.
go back to reference Folpe AL, Kwiatkowski DJ: Perivascular epithelioid cell neoplasms: pathology and pathogenesis. Hum Pathol. 2010, 41 (1): 1-15. 10.1016/j.humpath.2009.05.011. doi: 10.1016CrossRefPubMed Folpe AL, Kwiatkowski DJ: Perivascular epithelioid cell neoplasms: pathology and pathogenesis. Hum Pathol. 2010, 41 (1): 1-15. 10.1016/j.humpath.2009.05.011. doi: 10.1016CrossRefPubMed
3.
go back to reference Yin L, Bu H, Chen M, Yu J, Zhuang H, Chen J, Zhang H: Perivascular epithelioid cell neoplasm of the urinary bladder in an adolescent: a case report and review of the literature. Diagn Pathol. 2012, 7: 183-10.1186/1746-1596-7-183. doi:10.1186/1746-1596-7-183CrossRefPubMedPubMedCentral Yin L, Bu H, Chen M, Yu J, Zhuang H, Chen J, Zhang H: Perivascular epithelioid cell neoplasm of the urinary bladder in an adolescent: a case report and review of the literature. Diagn Pathol. 2012, 7: 183-10.1186/1746-1596-7-183. doi:10.1186/1746-1596-7-183CrossRefPubMedPubMedCentral
4.
go back to reference Borden EC, Amato DA, Rosenbaum C, Enterline HT, Shiraki MJ, Creech RH, Lerner HJ, Carbone PP: Randomized comparison of three adriamycin regimens for metastatic soft tissue sarcomas. J Clin Oncol. 1987, 5 (6): 840-850.PubMed Borden EC, Amato DA, Rosenbaum C, Enterline HT, Shiraki MJ, Creech RH, Lerner HJ, Carbone PP: Randomized comparison of three adriamycin regimens for metastatic soft tissue sarcomas. J Clin Oncol. 1987, 5 (6): 840-850.PubMed
5.
go back to reference Lopez M, Vici P, Di Lauro L, Carpano S: Increasing single epirubicin doses in advanced soft tissue sarcomas. J Clin Oncol. 2002, 20 (5): 1329-1334. 10.1200/JCO.20.5.1329.CrossRefPubMed Lopez M, Vici P, Di Lauro L, Carpano S: Increasing single epirubicin doses in advanced soft tissue sarcomas. J Clin Oncol. 2002, 20 (5): 1329-1334. 10.1200/JCO.20.5.1329.CrossRefPubMed
6.
go back to reference Lorigan P, Verweij J, Papai Z, Rodenhuis S, Le Cesne A, Leahy MG, Radford JA, Van Glabbeke MM, Kirkpatrick A, Hogendoorn PC, Blay JY, European Organisation for Research and Treatment of Cancer Soft Tissue and Bone Sarcoma Group Study: Phase III trial of two investigational schedules of ifosfamide compared with standard-dose doxorubicin in advanced or metastatic soft tissue sarcoma: a European Organization for Research and Treatment of Cancer Soft Tissue and Bone Sarcoma Group Study. J Clin Oncol. 2007, 25 (21): 3144-3150. 10.1200/JCO.2006.09.7717.CrossRefPubMed Lorigan P, Verweij J, Papai Z, Rodenhuis S, Le Cesne A, Leahy MG, Radford JA, Van Glabbeke MM, Kirkpatrick A, Hogendoorn PC, Blay JY, European Organisation for Research and Treatment of Cancer Soft Tissue and Bone Sarcoma Group Study: Phase III trial of two investigational schedules of ifosfamide compared with standard-dose doxorubicin in advanced or metastatic soft tissue sarcoma: a European Organization for Research and Treatment of Cancer Soft Tissue and Bone Sarcoma Group Study. J Clin Oncol. 2007, 25 (21): 3144-3150. 10.1200/JCO.2006.09.7717.CrossRefPubMed
7.
go back to reference Patel SR, Gandhi V, Jenkins J, Papadopolous N, Burgess MA, Plager C, Plunkett W, Benjamin RS: Phase II clinical investigation of gemcitabine in advanced soft tissue sarcomas and window evaluation of dose rate on gemcitabine triphosphate accumulation. J Clin Oncol. 2001, 19 (15): 3483-3489.PubMed Patel SR, Gandhi V, Jenkins J, Papadopolous N, Burgess MA, Plager C, Plunkett W, Benjamin RS: Phase II clinical investigation of gemcitabine in advanced soft tissue sarcomas and window evaluation of dose rate on gemcitabine triphosphate accumulation. J Clin Oncol. 2001, 19 (15): 3483-3489.PubMed
8.
go back to reference Merimsky O, Meller I, Flusser G, Kollender Y, Issakov J, Weil-Ben-Arush M, Fenig E, Neuman G, Sapir D, Ariad S, Inbar M: Gemcitabine in soft tissue or bone sarcoma resistant to standard chemotherapy: a phase II study. Cancer Chemother Pharmacol. 2000, 45 (2): 177-181. 10.1007/s002800050027.CrossRefPubMed Merimsky O, Meller I, Flusser G, Kollender Y, Issakov J, Weil-Ben-Arush M, Fenig E, Neuman G, Sapir D, Ariad S, Inbar M: Gemcitabine in soft tissue or bone sarcoma resistant to standard chemotherapy: a phase II study. Cancer Chemother Pharmacol. 2000, 45 (2): 177-181. 10.1007/s002800050027.CrossRefPubMed
9.
go back to reference Okuno S, Edmonson J, Mahoney M, Buckner JC, Frytak S, Galanis E: Phase II trial of gemcitabine in advanced sarcomas. Cancer. 2002, 94 (12): 3225-3229. 10.1002/cncr.10602.CrossRefPubMed Okuno S, Edmonson J, Mahoney M, Buckner JC, Frytak S, Galanis E: Phase II trial of gemcitabine in advanced sarcomas. Cancer. 2002, 94 (12): 3225-3229. 10.1002/cncr.10602.CrossRefPubMed
10.
go back to reference Svancarova L, Blay JY, Judson IR, van Hoesel QG, van Oosterom AT, le Cesne A, Keizer HJ, Hermans C, Van Glabbeke M, Verweij J, Hogendoorn PC, Nielsen OS: Gemcitabine in advanced adult soft-tissue sarcomas. A phase II study of the EORTC Soft Tissue and Bone Sarcoma Group. Eur J Cancer. 2002, 38 (4): 556-559. 10.1016/S0959-8049(01)00408-7.CrossRefPubMed Svancarova L, Blay JY, Judson IR, van Hoesel QG, van Oosterom AT, le Cesne A, Keizer HJ, Hermans C, Van Glabbeke M, Verweij J, Hogendoorn PC, Nielsen OS: Gemcitabine in advanced adult soft-tissue sarcomas. A phase II study of the EORTC Soft Tissue and Bone Sarcoma Group. Eur J Cancer. 2002, 38 (4): 556-559. 10.1016/S0959-8049(01)00408-7.CrossRefPubMed
11.
go back to reference Pea M, Martignoni G, Zamboni G, Bonetti F: Perivascular epithelioid cell. Am J Surg Pathol. 1996, 20 (9): 1149-1153. 10.1097/00000478-199609000-00012.CrossRefPubMed Pea M, Martignoni G, Zamboni G, Bonetti F: Perivascular epithelioid cell. Am J Surg Pathol. 1996, 20 (9): 1149-1153. 10.1097/00000478-199609000-00012.CrossRefPubMed
12.
go back to reference Sendo H, Harada H, Hasegawa H, Yasuda T, Ohara T, Oshikiri T, Tanaka K, Fujino Y, Tominaga M: A case of gallbladder metastasis from a malignant perivascular epithelioid cell tumor of the bladder. Nihon Shokakibyo Gakkai Zasshi. 2013, 110 (5): 861-868.PubMed Sendo H, Harada H, Hasegawa H, Yasuda T, Ohara T, Oshikiri T, Tanaka K, Fujino Y, Tominaga M: A case of gallbladder metastasis from a malignant perivascular epithelioid cell tumor of the bladder. Nihon Shokakibyo Gakkai Zasshi. 2013, 110 (5): 861-868.PubMed
13.
go back to reference Folpe AL, Mentzel T, Lehr H, Fisher C, Balzer BL, Weiss SW: Perivascular epithelioid cell neoplasms of soft tissue and gynecologic origin. Am J Surg Pathol. 2005, 29 (12): 1558-1575. 10.1097/01.pas.0000173232.22117.37.CrossRefPubMed Folpe AL, Mentzel T, Lehr H, Fisher C, Balzer BL, Weiss SW: Perivascular epithelioid cell neoplasms of soft tissue and gynecologic origin. Am J Surg Pathol. 2005, 29 (12): 1558-1575. 10.1097/01.pas.0000173232.22117.37.CrossRefPubMed
14.
go back to reference Parfitt JR, Bella AJ, Wehrli BM, Izawa JI: Primary PEComa of the bladder treated with primary excision and adjuvant interferon-alpha immunotherapy: a case report. BMC Urol. 2006, 6: 20-10.1186/1471-2490-6-20.CrossRefPubMedPubMedCentral Parfitt JR, Bella AJ, Wehrli BM, Izawa JI: Primary PEComa of the bladder treated with primary excision and adjuvant interferon-alpha immunotherapy: a case report. BMC Urol. 2006, 6: 20-10.1186/1471-2490-6-20.CrossRefPubMedPubMedCentral
15.
go back to reference Gennatas C, Michalaki V, Kairi PV, Kondi-Paphiti A, Voros D: Successful treatment with the mTOR inhibitor everolimus in a patient with perivascular epithelioid cell tumor. World J Surg Oncol. 2012, 10: 181-10.1186/1477-7819-10-181.CrossRefPubMedPubMedCentral Gennatas C, Michalaki V, Kairi PV, Kondi-Paphiti A, Voros D: Successful treatment with the mTOR inhibitor everolimus in a patient with perivascular epithelioid cell tumor. World J Surg Oncol. 2012, 10: 181-10.1186/1477-7819-10-181.CrossRefPubMedPubMedCentral
16.
go back to reference Martignoni G, Pea M, Reghellin D, Zamboni G, Bonetti F: PEComas: the past, the present and the future. Vircow Virchows Arch. 2008, 452 (2): 119-132. 10.1007/s00428-007-0509-1.CrossRef Martignoni G, Pea M, Reghellin D, Zamboni G, Bonetti F: PEComas: the past, the present and the future. Vircow Virchows Arch. 2008, 452 (2): 119-132. 10.1007/s00428-007-0509-1.CrossRef
Metadata
Title
Bone metastases from bladder perivascular epithelioid cell tumor – an unusual localization of a rare tumor: a case report
Authors
Giovanni Palleschi
Antonio Luigi Pastore
Salvatore Evangelista
Luigi Silvestri
Luigi Rossi
Claudio Di Cristofano
Natale Porta
Vincenzo Petrozza
Silverio Tomao
Antonio Carbone
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2014
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-8-227

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