E-ISSN 2577-2058
 

Case Report


Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.

Christina Natalia Ramoh , Yuefen Zou, Felix Hamzah, Lipeng Yu, Yan Zhu.

Abstract
Clear cell sarcoma is a rare malignant soft tissue neoplasm with a predilection for arising deep soft tissues adjacent to tendons and aponeuroses and fascial structures. This report presents a 32-year-old woman with low back pain and swelling, night sweat and lateral numbness in her right thigh for three months. MRI revealed a 4.0 x 5.8 cm vertebral lesion on the right lumbar region, without characteristics of a melanin rich tumor. Immunohistochemistry and fluorescence in situ hybridization confirmed diagnosis of clear cell sarcoma. The patient underwent a chemotherapy protocol. At four months post-surgery, CT revealed a soft tissue lesion in the right L3, suspected to be either a cancer relapse or harmless post-surgery lesion. Radiotherapy was performed in precaution of a relapse. At eleven months post-surgery, tumor relapse and multiple bone metastasis were observed. Combination of imaging methods improves diagnostics and subsequently differentiate clear cell sarcoma from other pathologies.

Key words: clear cell sarcoma of soft parts; spine; lumbar vertebrae; mr imaging diagnosis; rare malignant tumor


 
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How to Cite this Article
Pubmed Style

CNR, Zou Y, Hamzah F, Yu L, Zhu Y, . Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. A J Diagn Imaging. 2020; 6(1): 7-14. doi:10.5455/ajdi.20190309122412


Web Style

CNR, Zou Y, Hamzah F, Yu L, Zhu Y, . Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. https://www.jdiagnosticimaging.com/?mno=36063 [Access: November 29, 2022]. doi:10.5455/ajdi.20190309122412


AMA (American Medical Association) Style

CNR, Zou Y, Hamzah F, Yu L, Zhu Y, . Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. A J Diagn Imaging. 2020; 6(1): 7-14. doi:10.5455/ajdi.20190309122412



Vancouver/ICMJE Style

CNR, Zou Y, Hamzah F, Yu L, Zhu Y, . Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. A J Diagn Imaging. (2020), [cited November 29, 2022]; 6(1): 7-14. doi:10.5455/ajdi.20190309122412



Harvard Style

, C. N. R., Zou, Y., Hamzah, F., Yu, L., Zhu, Y. & (2020) Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. A J Diagn Imaging, 6 (1), 7-14. doi:10.5455/ajdi.20190309122412



Turabian Style

, Christina Natalia Ramoh, Yuefen Zou, Felix Hamzah, Lipeng Yu, Yan Zhu, and . 2020. Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. American Journal of Diagnostic Imaging , 6 (1), 7-14. doi:10.5455/ajdi.20190309122412



Chicago Style

, Christina Natalia Ramoh, Yuefen Zou, Felix Hamzah, Lipeng Yu, Yan Zhu, and . "Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.." American Journal of Diagnostic Imaging 6 (2020), 7-14. doi:10.5455/ajdi.20190309122412



MLA (The Modern Language Association) Style

, Christina Natalia Ramoh, Yuefen Zou, Felix Hamzah, Lipeng Yu, Yan Zhu, and . "Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.." American Journal of Diagnostic Imaging 6.1 (2020), 7-14. Print. doi:10.5455/ajdi.20190309122412



APA (American Psychological Association) Style

, C. N. R., Zou, Y., Hamzah, F., Yu, L., Zhu, Y. & (2020) Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. American Journal of Diagnostic Imaging , 6 (1), 7-14. doi:10.5455/ajdi.20190309122412