Recurrent Epitheloid Cell Sarcoma of Scapular region: A Case Report and Review of Literature

Raza MW
2019 Journal of Medical Science And clinical Research  
Epithelioid sarcoma is a rare variety of malignant soft tissue sarcoma of uncertain differentiation that affects young adults mostly involves upper arm especially arm and wrist. It has a high rate of recurrence and metastasis. A 55-year-old male presented in December 2011 with a swelling over right scapular region (near angle of scapula). The patient gave a history of swelling from 6 months. Local excision was done 2 times from 2014 to 2016. Each time the recurrence was just distal to previous
more » ... distal to previous one. For the third recurrence just adjacent to it wide local excision was done. Immunohistochemistry (IHC) showed expression of Vimentin, Pan-CK: Focal positive, EMA: Focal positive, LCA: negative, CD-99: Negative,. IHC confirmed the diagnosis of epithelioid sarcoma of axillary region. Patient received adjuvant chemotherapy followed by local radiotherapy. Patient remained asymptomatic for 2 years when follow up PET-CT was suggestive of lung metastasis. Thus, doxorubicin based chemotherapy has been planned.
doi:10.18535/jmscr/v7i4.29 fatcat:4qe274r66fgp5emd4men7orj3y