J Korean Soc Ther Radiol.  1991 Jun;9(1):117-122.

Radiation Treatment for Malignant Small Cell Tumor of the Thoracopulmonary RegionPrimitive Pluripotent Histogenesis and Differential Diagnosis: A Case Report and Review of Literatures

Affiliations
  • 1Department of Radiation Oncology, National Medical Center, Seoul, Korea.

Abstract

Malignant small round cell tumor (SRCT) of the thoracopulmonary region appears to originate in the soft tissues of the chest wall or the peripheral lung. A differential diagnosis of poorly differentiated small round cell tumors which include Ewing's sarcoma of bone and soft tissue, embryonal rhabdomyosarcoma, Askin tumor, neuroblastoma, peripheral neuroectodermal tumor, small cell osteogenic sarcoma and lymphoma are after difficult by light microscopy alone. In recent, by the extensive studies electron microscopic examination, histochemical study, immunochemical study, cytogenetics and gene analysis, these tumors may be derived from the primitive and pluripotential cells, differentiating into mesenchymal, epithelial and neural features in variable proportions. Treatment for SRCT of thoracopulmonary regin is not determined because of massive involvement of the lung, pleura or soft tissues of the chest wall resulted in a dismal outcome despite aggressive surgery, irradiation and chemotherapy.

Keyword

Malignant Small Cell Tumor of Thoracopulmonary Region; Radiation

MeSH Terms

Cytogenetics
Diagnosis, Differential*
Drug Therapy
Lung
Lymphoma
Microscopy
Neuroblastoma
Neuroectodermal Tumors, Primitive, Peripheral
Osteosarcoma
Pleura
Rhabdomyosarcoma, Embryonal
Sarcoma, Ewing
Thoracic Wall
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