Preview

Journal of oncology: diagnostic radiology and radiotherapy

Advanced search

Remote Radiotherapy in the Treatment of Patients with Perivascular Epithelial Cell Tumors

https://doi.org/10.37174/2587-7593-2020-3-1-11-20

Abstract

The main method of treating rare mesenchymal tumors PEComas is surgical removal of the tumor and external-beam radiation therapy has historically been considered ineffective. However, the individual cases in the foreign literature as well as this article authors’ experience in the form of the clinical case provided in it shows the possibility of achieving some anti-tumor effect due to the use of aggressive variants of radiation therapy. The use of variations of stereotactic radiotherapy with high dose per fraction and sum dose as an neoadjuvant and definitive treatment looks promising.

About the Authors

A. V. Nazarenko
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


E. R. Musaev
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


S. V. Medvedev
P.A. Herzen Moscow Scientific Research Institute of Oncology — Branch of the «National Medical Research Center Of Radiology» of the Ministry of Health of the Russian Federation
Russian Federation
Moscow


S. I. Tkachev
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


S. B. Aliyeva
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


S. M. Ivanov
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


D. S. Romanov
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


D. I. Sofronov
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


O. A. Zaspa
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


V. A. Boldyreva
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


D. I. Fedoseenko
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


I. I. Grishina
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow


O. V. Bulaeva
A.I. Evdokimova Moscow State Medical and Dental University
Russian Federation
Moscow


References

1. Fadare O, Parkash V, Yilmaz Y, et al. Perivascular epithelioid cell tumor (PEComa) of the uterine cervix associated with intraabdominal «PEComatosis»: A clinicopathological study with comparative genomic hybridization analysis. World J Surg Oncol 2004;2:35. PMID: 15494070. DOI: 10.1186/1477-7819-2-35.

2. Cuevas Herreros O, Escobar Lezcano L, Rodriguez Blaco M, Artigas Raventos V. PEComa, a Rare Epithelioid Cell Tumor. Cir Esp 2015;93:e65-7. DOI: 10.1016/j.cireng.2013.07.034.

3. Folpe AL, Mentzel T, Lehr HA, et al. Perivascular epithelioid cell neoplasms of soft tissue and gynecologic origin: a clinicopathologic study of 26 cases and review of the literature. Am J Surg Pathol 2005; 29:1558-75. PMID: 16327428.

4. Hussain T, Al-Hamali S. Pathophysiology and management aspects of adrenal angiomyolipomas. Ann Roy Coll Surg Engl 2012; 94:224-6. PMID: 22613297. DOI: 10.1308/003588412X13171221498541.

5. Нечушкина ИВ, Карселадзе АИ. Пекомы. Обзор литературы и клиническое наблюдение. Саркомы костей, мягких тканей и опухоли кожи. 2016;2:32-

6. [Nechushkina IV, Karseladze AI. PEComas. Literature review and clinical observation. Sarcomas of Bones, Soft Tissues and Skin Tumors. 2016;2:32-43. (In Russ.)].

7. Lin K-H, Chang N-J, Liou L-R, et al. Successful management of perivascular epithelioid cell tumor of the rectum with recurrent liver metastases: A case report. Medicine 2018;97:31(e11679) DOI: 10.1097/MD.0000000000011679.

8. Bleeker JS, Quevedo JF, Folpe AL. “Malignant” Perivascular Epithelioid Cell Neoplasm: Risk Stratification and Treatment Strategies. Sarcoma. Volume 2012, Article ID 541626. DOI: 10.1155/2012/541626.

9. Jeon IS, Lee SM. Multimodal treatment using surgery, radiotherapy, and chemotherapy in a patient with a perivascular epithelioid cell tumor of the uterus. J Pediat Hematol. Oncol. 2005;27:681-4. PMID: 16344678.

10. Jeon IS, Yi DY. Acute lymphoblastic leukemia secondary to chemoradiotherapy for perivascular epithelioid cell tumor of uterus. Pediat Hematol Oncol. 2009;26:85-8. PMID: 19322738. DOI: 10.1080/08880010902754859.

11. Osei DA, Alvandi F, Brooks JS, Ogilvie CM. PEComa of the upper extremity: a unique case and description of an initial response to neoadjuvant chemotherapy. Sarcoma. Volume 2007, Article ID 53056. PMID: 18274609. DOI: 10.1155/2007/53056.

12. Ong LY, Hwang WS, Wong A, et al. Perivascular epithelioid cell tumour of the vagina in an 8 year old girl. J Pediat Surg. 2007;42(3):564-6. PMID: 17336201. DOI: 10.1016/j.jpedsurg.2006.10.050.

13. Weinreb I, Howarth D, Latta E, et al. Perivascular epithelioid cell neoplasms (PEComas): four malignant cases expanding the histopathological spectrum and a description of a unique finding. Virchows Arch 2007;450(4):463-70. PMID: 17377813. DOI: 10.1007/s00428-007-0378-7.

14. Yamashita K, Fletcher CD. PEComa presenting in bone: clinicopathologic analysis of 6 cases and literature review. Am J Surg Pathol. 2010;34(11):1622-9. PMID: 20975340. DOI: 10.1097/PAS.0b013e3181f5974f.

15. Kriste S, Kayser G, Zipfel A, et al. Unresectable hepatic PEComa: a rare malignancy treated with stereotactic body radiation therapy (SBRT) followed by complete resection. Radiat Oncol. 2018;13:28. DOI: 10.1186/s13014-018-0974-5.

16. Girardi FM, Nunes AB, Hauth LA. Malignant subcutaneous PEComa on the cheek. An Bras Dermatol. 2018;93(6):930-44. DOI: 10.1590/abd1806-4841.20187595.

17. Musella A, de Felice F, Kyriacou K, et al. Perivascular epithelioid cell neoplasm (PEComa) of the uterus: A systematic review. Int J Surg. 2015;19:1-5. DOI: 10.1016/j.ijsu.2015.05.002.


Review

For citations:


Nazarenko A.V., Musaev E.R., Medvedev S.V., Tkachev S.I., Aliyeva S.B., Ivanov S.M., Romanov D.S., Sofronov D.I., Zaspa O.A., Boldyreva V.A., Fedoseenko D.I., Grishina I.I., Bulaeva O.V. Remote Radiotherapy in the Treatment of Patients with Perivascular Epithelial Cell Tumors. Journal of oncology: diagnostic radiology and radiotherapy. 2020;3(1):11-20. (In Russ.) https://doi.org/10.37174/2587-7593-2020-3-1-11-20

Views: 694


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2587-7593 (Print)
ISSN 2713-167X (Online)