Fatal malignant metastastic epithelioid angiomyolipoma presenting in a young woman: case report and review of the literature

• الحاوية / القاعدة: Rare Tumors
• المؤلفون الرئيسيون: Edward Wyluda, Giselle Baquero, Nicholas Lamparella, Catherine Abendroth, Joseph Drabick
• التنسيق: مقال
• اللغة: الإنجليزية
• منشور في: SAGE Publishing 2013-09-01
• الموضوعات: malignant epithelioid angiomyolipomas, targeted therapy, perivascular epithelioid cell tumors
• الوصول للمادة أونلاين: http://www.pagepress.org/journals/index.php/rt/article/view/4882
• تدمد: 2036-3605; 2036-3613

Epithelioid angiomyolipomas (EAMLs) are rare mesenchymal tumors whose malignant variant is extremely uncommon and highly aggressive. Treatment strategies include chemoradiation, transcatheter arterial embolization and surgical resection, which has remained the mainstay treatment. Targeted therapies including mammalian target of rapamycin (mTOR) inhibitors such as Temsirolimus may offer some hope for progressive malignant EAMLs that are not amenable to other treatment modalities. We report a fatal case in a young female who presented with rapidly progressive metastatic EAML that did not respond to mTOR therapy. The literature has shown reduction in tumor burden with the use of mTOR inhibitors, but unfortunately due to the rarity of malignant EAML, a meaningful approach to treatment remains challenging.