Mesenchymal Chondrosarcoma Presenting as a Calcified Mass Extending Into the Inferior Vena Cava.
case_report · Level V
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- Record sourced from PubMed, PMID 41941232.
- Also identified by DOI 10.1097/RLU.0000000000006435 and PMC identifier 13132043.
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Abstract
A 50-year-old man presented with lower abdominal pain. Imaging revealed a pelvic mass extending from the right internal iliac vein into the inferior vena cava. Fluorodeoxyglucose-positron emission tomography revealed intense uptake (SUVmax 13.97) without metastasis. Biopsy revealed a biphasic tumor with cartilaginous matrix and staghorn vasculature. Immunohistochemistry indicated positive for SMA, desmin, MyoD1, and NKX3.1. Moreover, genomic analysis identified a HEY1::NCOA2 fusion, confirming mesenchymal chondrosarcoma (MCS). Given the extent of the tumor, chemoradiotherapy was initiated. MCS is a rare, high-grade sarcoma with limited treatment options. Targeted therapies against HEY1::NCOA2-associated pathways are promising and are currently under investigation.
Medical subject headings
- Chondrosarcoma, Mesenchymal
- Vena Cava, Inferior
- Calcinosis
- Bone Neoplasms