Adamantinoma-like Ewing sarcoma(ALES)is a rare variant of Ewing sarcoma that predominantly occurs in the head and neck region,characterized by epithelial differentiation and overlapping morphology with other small rou...Adamantinoma-like Ewing sarcoma(ALES)is a rare variant of Ewing sarcoma that predominantly occurs in the head and neck region,characterized by epithelial differentiation and overlapping morphology with other small round cell tumors.We present three cases of head and neck ALES(two in the parotid gland and one in the nasal cavity)in patients aged 23-42 years.Histologically,the tumors exhibited a spectrum of features,including small round blue cells and basaloid squamous morphologies.Immunohistochemically,the tumor cells variably expressed CKpan,p63,CD99,NKX2.2,FLI1,CD56,and Syn.The Ki-67 proliferation index ranged widely from 15%to 90%.Notably,one case initially misdiagnosed as squamous cell carcinoma harbored a canonical EWSR1::FLI1 fusion.Crucially,we report the first case of ALES had a negative EWSR1 rearrangement but a somatic NF1 mutation,expanding the molecular spectrum of this entity.Our findings underscore the diagnostic challenge of ALES and highlight the necessity of comprehensive molecular profiling,including next-generation sequencing,for accurate diagnosis and the identification of potential therapeutic targets,particularly in genetically atypical cases.展开更多
目的:对三例散发I型神经纤维瘤病(neurofibromatosis type 1,NF1)患者进行NFl基因检测。方法:提取3例患者及5名正常家系成员和100例无NF1家族史的正常人外周血DNA。PCR扩增NF1基因全部外显子及侧翼序列,经纯化后采用Sanger测序法对目标...目的:对三例散发I型神经纤维瘤病(neurofibromatosis type 1,NF1)患者进行NFl基因检测。方法:提取3例患者及5名正常家系成员和100例无NF1家族史的正常人外周血DNA。PCR扩增NF1基因全部外显子及侧翼序列,经纯化后采用Sanger测序法对目标基因区域进行测序。结果:患者1,患者2和患者3分别检测到39号外显子发生碱基G缺失(c.5635 delG),47号外显子大片段碱基缺失(c.7041～7062+4del),21号外显子发生碱基A、C缺失(c.2714-2715delAC)。患者家属及100例正常对照均未检测到上述突变。结论:本研究在3例NFl患者中发现NFl基因3种新突变。展开更多
文摘Adamantinoma-like Ewing sarcoma(ALES)is a rare variant of Ewing sarcoma that predominantly occurs in the head and neck region,characterized by epithelial differentiation and overlapping morphology with other small round cell tumors.We present three cases of head and neck ALES(two in the parotid gland and one in the nasal cavity)in patients aged 23-42 years.Histologically,the tumors exhibited a spectrum of features,including small round blue cells and basaloid squamous morphologies.Immunohistochemically,the tumor cells variably expressed CKpan,p63,CD99,NKX2.2,FLI1,CD56,and Syn.The Ki-67 proliferation index ranged widely from 15%to 90%.Notably,one case initially misdiagnosed as squamous cell carcinoma harbored a canonical EWSR1::FLI1 fusion.Crucially,we report the first case of ALES had a negative EWSR1 rearrangement but a somatic NF1 mutation,expanding the molecular spectrum of this entity.Our findings underscore the diagnostic challenge of ALES and highlight the necessity of comprehensive molecular profiling,including next-generation sequencing,for accurate diagnosis and the identification of potential therapeutic targets,particularly in genetically atypical cases.
文摘目的:对三例散发I型神经纤维瘤病(neurofibromatosis type 1,NF1)患者进行NFl基因检测。方法:提取3例患者及5名正常家系成员和100例无NF1家族史的正常人外周血DNA。PCR扩增NF1基因全部外显子及侧翼序列,经纯化后采用Sanger测序法对目标基因区域进行测序。结果:患者1,患者2和患者3分别检测到39号外显子发生碱基G缺失(c.5635 delG),47号外显子大片段碱基缺失(c.7041～7062+4del),21号外显子发生碱基A、C缺失(c.2714-2715delAC)。患者家属及100例正常对照均未检测到上述突变。结论:本研究在3例NFl患者中发现NFl基因3种新突变。
