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Mutations in the ''SMARCB1'' gene cause epithelioid sarcoma.
Mutations in the ''SMARCB1'' gene cause epithelioid sarcoma.
==Differentiating Epithelioid sarcoma from other Diseases==
==Differentiating Epithelioid sarcoma from other Diseases==
 
Epithelioid sarcoma must be differentiated from synovial sarcoma, wart, ganglion cysts, rhabdomyosarcoma, and clear cell sarcoma.
==Epidemiology and Demographics==
==Epidemiology and Demographics==



Revision as of 14:34, 19 February 2016

Epithelioid sarcoma Microchapters

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Overview

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Differentiating Epithelioid sarcoma from other Diseases

Epidemiology and Demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]; Ammu Susheela, M.D. [3]

Overview

Epithelioid sarcoma is a rare mesenchymal soft tissue tumor with an epithelioid pattern. It often occurs in the extremities of young people.

Diagnosis is often delayed because of the unusual nature of the tumor.

Historical Perspective

Epithelioid sarcoma was first discovered by Dr. J. Laskowski, a polish doctor, in 1961 following the description of a clinical entity called sarcoma aponeuroticum due to involvement of aponeurosis. Enzinger coined the term epithelioid sarcoma in 1970.

Pathophysiology

Mutations in the SMARCB1 gene cause epithelioid sarcoma. On gross pathology, solid, multinodular mass, glistening gray tan appearance, and multiple areas of hemorrhage and necrosis are characteristic findings of epithelioid sarcoma. On microscopic histopathological analysis, central necrosis surrounded by bland, polygonal cells with eosinophilic cytoplasm and peripheral spindling, desmoplasia, focal calcification, or metaplastic ossification are characteristic findings of epithelioid sarcoma.

Causes

Mutations in the SMARCB1 gene cause epithelioid sarcoma.

Differentiating Epithelioid sarcoma from other Diseases

Epithelioid sarcoma must be differentiated from synovial sarcoma, wart, ganglion cysts, rhabdomyosarcoma, and clear cell sarcoma.

Epidemiology and Demographics

Risk Factors

Screening

Natural history, Complications and Prognosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Medical Therapy

Surgery

References


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