Granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcoma
Introduction Granulocyte colony‐stimulating factor‐producing nonhematopoietic malignancies have poor clinical outcomes. Case presentation A 62‐year‐old woman complaining of fever and left lower quadrant pain was referred to our hospital. A left retroperitoneal tumor was suspected on computed tomogra...
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doaj-774811a17a4446bda4e316c6b62d799c2021-03-02T15:16:44ZengWileyIJU Case Reports2577-171X2021-03-0142757810.1002/iju5.12243Granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcomaKyotaro Fukuta0Kei Daizumoto1Masayuki Takahashi2Hidehisa Mori3Yoichi Otomi4Hisanori Uehara5Tomoya Fukawa6Yasuyo Yamamoto7Kunihisa Yamaguchi8Hiro‐omi Kanayama9Departments ofDepartment of UrologyTokushima University Graduate School of Biomedical SciencesTokushima Tokushima JapanDepartments ofDepartment of UrologyTokushima University Graduate School of Biomedical SciencesTokushima Tokushima JapanDepartments ofDepartment of UrologyTokushima University Graduate School of Biomedical SciencesTokushima Tokushima JapanDepartments ofDepartment of UrologyTokushima University Graduate School of Biomedical SciencesTokushima Tokushima JapanDepartment of Radiology Tokushima University Graduate School of Biomedical Sciences Tokushima TokushimaJapanDivison of Pathology Tokushima University Hospital Tokushima Tokushima JapanDepartments ofDepartment of UrologyTokushima University Graduate School of Biomedical SciencesTokushima Tokushima JapanDepartments ofDepartment of UrologyTokushima University Graduate School of Biomedical SciencesTokushima Tokushima JapanDepartments ofDepartment of UrologyTokushima University Graduate School of Biomedical SciencesTokushima Tokushima JapanDepartments ofDepartment of UrologyTokushima University Graduate School of Biomedical SciencesTokushima Tokushima JapanIntroduction Granulocyte colony‐stimulating factor‐producing nonhematopoietic malignancies have poor clinical outcomes. Case presentation A 62‐year‐old woman complaining of fever and left lower quadrant pain was referred to our hospital. A left retroperitoneal tumor was suspected on computed tomography, and laboratory data showed leukocytosis and markedly elevated granulocyte colony‐stimulating factor. She underwent left nephroureterectomy, partial colectomy, and psoas muscle resection. The histological examination showed a granulocyte colony‐stimulating factor‐producing retroperitoneal leiomyosarcoma. Three months after the operation, she developed lung and liver metastases and received the chemotherapy, including doxorubicin and ifosfamide. Eight months after the operation, these lesions had progressed, and a new bone metastasis appeared. Twelve months after the operation, she received pazopanib and radiation for bone metastases. However, the metastases progressed, and she died 17 months after the operation. Conclusion Since granulocyte colony‐stimulating factor‐producing retroperitoneal leiomyosarcoma had a very poor prognosis irrespective of intensive treatment including wide resection, effective systemic therapy should be required.https://doi.org/10.1002/iju5.12243chemotherapyG‐CSF‐producing tumorimmunohistochemical stainingleukocytosisretroperitoneal leiomyosarcoma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kyotaro Fukuta Kei Daizumoto Masayuki Takahashi Hidehisa Mori Yoichi Otomi Hisanori Uehara Tomoya Fukawa Yasuyo Yamamoto Kunihisa Yamaguchi Hiro‐omi Kanayama |
spellingShingle |
Kyotaro Fukuta Kei Daizumoto Masayuki Takahashi Hidehisa Mori Yoichi Otomi Hisanori Uehara Tomoya Fukawa Yasuyo Yamamoto Kunihisa Yamaguchi Hiro‐omi Kanayama Granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcoma IJU Case Reports chemotherapy G‐CSF‐producing tumor immunohistochemical staining leukocytosis retroperitoneal leiomyosarcoma |
author_facet |
Kyotaro Fukuta Kei Daizumoto Masayuki Takahashi Hidehisa Mori Yoichi Otomi Hisanori Uehara Tomoya Fukawa Yasuyo Yamamoto Kunihisa Yamaguchi Hiro‐omi Kanayama |
author_sort |
Kyotaro Fukuta |
title |
Granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcoma |
title_short |
Granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcoma |
title_full |
Granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcoma |
title_fullStr |
Granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcoma |
title_full_unstemmed |
Granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcoma |
title_sort |
granulocyte colony‐stimulating factor producing retroperitoneal leiomyosarcoma |
publisher |
Wiley |
series |
IJU Case Reports |
issn |
2577-171X |
publishDate |
2021-03-01 |
description |
Introduction Granulocyte colony‐stimulating factor‐producing nonhematopoietic malignancies have poor clinical outcomes. Case presentation A 62‐year‐old woman complaining of fever and left lower quadrant pain was referred to our hospital. A left retroperitoneal tumor was suspected on computed tomography, and laboratory data showed leukocytosis and markedly elevated granulocyte colony‐stimulating factor. She underwent left nephroureterectomy, partial colectomy, and psoas muscle resection. The histological examination showed a granulocyte colony‐stimulating factor‐producing retroperitoneal leiomyosarcoma. Three months after the operation, she developed lung and liver metastases and received the chemotherapy, including doxorubicin and ifosfamide. Eight months after the operation, these lesions had progressed, and a new bone metastasis appeared. Twelve months after the operation, she received pazopanib and radiation for bone metastases. However, the metastases progressed, and she died 17 months after the operation. Conclusion Since granulocyte colony‐stimulating factor‐producing retroperitoneal leiomyosarcoma had a very poor prognosis irrespective of intensive treatment including wide resection, effective systemic therapy should be required. |
topic |
chemotherapy G‐CSF‐producing tumor immunohistochemical staining leukocytosis retroperitoneal leiomyosarcoma |
url |
https://doi.org/10.1002/iju5.12243 |
work_keys_str_mv |
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1724234758507986944 |