Askin Tumour: A rare childhood thoraco - pulmonary malignancy of Ewing's family of umours
Göğüs duvarının primitif nöro-ektodermal tümörü veya diğer bir deyişle Askin tümörü nadirgörülen bir küçük hücreli nöroepitelyoma olup göğüs duvarı veya akciğer kökenlidir. Ağırlıklıolarak çocuk ve adolesanlarda saptanır. Her ne kadar ışık mikroskopisindeki görünümü Ewingsarkomu, rabdomyosarkom, nöroblastom ve lenfoma gibi bu yaş grubunda çoğunlukla görülengöğüs duvarı neoplasmlarına benzese de Askin tümörü farklı bir antitedir. Bu makalede yüksekderecede agresif klinik seyirli, torakopulmoner alan yerleşimli nadir bir malignite olan Askintümörlü bir çocuk hasta sunulmuştur.
Askin Tümörü: Ewing tümör ailesinin nadir görülen çocukluk çağı torakop ulmoner malignitesi
Primitive neuro-ectodermal tumour of chest wall or the Askin tumour is a rare, malignant smallcell neuroepithelioma that arises from the chest wall or lung. It is seen predominantly in childrenand adolescents. Although its appearance by light microscopy is similar to Ewing s sarcoma,rhabdomyosarcoma, neuroblastoma and lymphoma, which account for bulk of chest wallneoplasms in this age group, yet the Askin tumour is a distinct entity. We present a case of Askintumour in a child, a rare malignant tumour in the thoraco-pulmonary area with highly aggressiveclinical course.
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- 1. Harimaya K, Oda Y, Matsuda S, Tanaka K, Chuman H, Iwamoto Y. Primitive neuroectodermal tumor and extraskeletal Ewing sarcoma arising primarily around the spinal column: report of four cases and a review of the literature. Spine 2003; 28: E408-12.
- 2. Montgomery E. Soft tissue tumours. In: Silverberg SG, Delellis RF, Frable WJ, Livdsi VA, Wick MR, Editors. Silverbergs Principles and Practice of Surgical Pathology and cytopathology. 4th ed. Churchill Livingstone: Elsevier; 2006; pp: 385-6.
- 3. Ultrasound in Askin Tumour. 2009 Jun 03. Available from: URL:http://www.mypacs.net/cases/ULTRASOUND-IN-ASKIN-TUMOUR- 24469293.html (Accessed on August 09, 2012)
- 4. Askin FB, Rosai J, Sibley RK, Dehner LP, McAlister WH. Malignant small cell tumor of the thoracopulmonary region in childhood: a distinctive clinicopathologic entity of uncertain histogenesis. Cancer 1979; 43: 2438-51.
- 5. Sallustio G, Pirronti T, Lasorella A, Natale L, Bray A, Marano P. Diagnostic imaging of primitive neuroectodermal tumour of the chest wall (Askin tumour). Pediatric Radiology 1998; 28: 697-702.
- 6. Fink IJ, Kurtz DW, Cazenave L, Lieber MR, Miser JS, Chandra R, Triche TJ. Malignant thoracopulmonary small-cell ("Askin") tumor. Am J Roentgenol 1985; 145: 517-20.
- 7. Cabezalí R, Lozano R, Bustamante E, Castiella T, Güemes A, Ramírez J, Moncada E, Sousa R, Gil I. Askin's tumor of the chest wall: A case report in an adult. J Thorac Cardiovasc Surg 1994; 107: 960-2.