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Congenital fibrosarcoma

MedGen UID:
87246
•Concept ID:
C0334459
•
Neoplastic Process
Synonym: Infantile fibrosarcoma
SNOMED CT: Infantile fibrosarcoma (403996004)
 
Monarch Initiative: MONDO:0004557

Definition

A fibrosarcoma that occurs in infants. It shares identical morphologic features with adult fibrosarcoma but carries the t(12;15)(p13;q25) translocation that results in ETV6-NTRK3 gene fusion. It usually affects the superficial and deep soft tissues of the extremities. The prognosis is generally much more favorable than for adult fibrosarcoma, and it rarely metastasizes. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Congenital fibrosarcoma

Professional guidelines

PubMed

Differential diagnostic features between congenital haemangioma, KHE, and congenital fibrosarcoma: a single-centre experience.
AbouZeid AA, Mohammad SA, Aly NH, Elghandour MM, AbdelLatif M, Elsayed SM, El-Naggar O, Attia EAS, Ragab IA
Eur J Pediatr 2021 Aug;180(8):2581-2589. Epub 2021 May 19 doi: 10.1007/s00431-021-04119-7. PMID: 34009469
Neonatal congenital lung tumors - the importance of mid-second-trimester ultrasound as a diagnostic clue.
Waelti SL, Garel L, Soglio DD, Rypens F, Messerli M, Dubois J
Pediatr Radiol 2017 Dec;47(13):1766-1775. Epub 2017 Sep 7 doi: 10.1007/s00247-017-3953-3. PMID: 28884206
Neonatal soft tissue sarcomas: the influence of pathology on treatment and survival. Children's Cancer Group Surgical Committee.
Dillon PW, Whalen TV, Azizkhan RG, Haase GM, Coran AG, King DR, Smith M
J Pediatr Surg 1995 Jul;30(7):1038-41. doi: 10.1016/0022-3468(95)90337-2. PMID: 7472928

Recent clinical studies

Etiology

Differential diagnostic features between congenital haemangioma, KHE, and congenital fibrosarcoma: a single-centre experience.
AbouZeid AA, Mohammad SA, Aly NH, Elghandour MM, AbdelLatif M, Elsayed SM, El-Naggar O, Attia EAS, Ragab IA
Eur J Pediatr 2021 Aug;180(8):2581-2589. Epub 2021 May 19 doi: 10.1007/s00431-021-04119-7. PMID: 34009469
Pan-Trk Immunohistochemistry Is an Efficient and Reliable Screen for the Detection of NTRK Fusions.
Hechtman JF, Benayed R, Hyman DM, Drilon A, Zehir A, Frosina D, Arcila ME, Dogan S, Klimstra DS, Ladanyi M, Jungbluth AA
Am J Surg Pathol 2017 Nov;41(11):1547-1551. doi: 10.1097/PAS.0000000000000911. PMID: 28719467Free PMC Article
The role of cytogenetics in the classification of soft tissue tumours.
Dei Tos AP, Dal Cin P
Virchows Arch 1997 Aug;431(2):83-94. doi: 10.1007/s004280050073. PMID: 9293889
Congenital fibrosarcoma.
Blocker S, Koenig J, Ternberg J
J Pediatr Surg 1987 Jul;22(7):665-70. doi: 10.1016/s0022-3468(87)80123-9. PMID: 3612464
Congenital fibrosarcoma.
Balsaver AM, Butler JJ, Martin RG
Cancer 1967 Oct;20(10):1607-16. doi: 10.1002/1097-0142(196710)20:10<1607::aid-cncr2820201007>3.0.co;2-#. PMID: 6058170

Diagnosis

Differential diagnostic features between congenital haemangioma, KHE, and congenital fibrosarcoma: a single-centre experience.
AbouZeid AA, Mohammad SA, Aly NH, Elghandour MM, AbdelLatif M, Elsayed SM, El-Naggar O, Attia EAS, Ragab IA
Eur J Pediatr 2021 Aug;180(8):2581-2589. Epub 2021 May 19 doi: 10.1007/s00431-021-04119-7. PMID: 34009469
Pan-Trk Immunohistochemistry Is an Efficient and Reliable Screen for the Detection of NTRK Fusions.
Hechtman JF, Benayed R, Hyman DM, Drilon A, Zehir A, Frosina D, Arcila ME, Dogan S, Klimstra DS, Ladanyi M, Jungbluth AA
Am J Surg Pathol 2017 Nov;41(11):1547-1551. doi: 10.1097/PAS.0000000000000911. PMID: 28719467Free PMC Article
Fetal presentation of congenital fibrosarcoma of the meninges: case report and literature review.
Marguet F, Bergogne L, Laurent N, Rousseau T, Laquerrière A
Clin Neuropathol 2015 Mar-Apr;34(2):70-5. doi: 10.5414/NP300811. PMID: 25492889
Genetics and the biologic basis of sarcomas.
Bennicelli JL, Barr FG
Curr Opin Oncol 1999 Jul;11(4):267-74. doi: 10.1097/00001622-199907000-00006. PMID: 10416879
Congenital fibrosarcoma.
Blocker S, Koenig J, Ternberg J
J Pediatr Surg 1987 Jul;22(7):665-70. doi: 10.1016/s0022-3468(87)80123-9. PMID: 3612464

Therapy

Congenital intestinal fibrosarcoma with rapid recurrence requiring adjuvant chemotherapy.
See WSQ, Cheuk DKL, To KF, Ip PP, Chiang AKS, Ha SY, Chan GCF
Pediatr Int 2017 Jun;59(6):733-736. Epub 2017 Apr 24 doi: 10.1111/ped.13252. PMID: 28436622
Congenital fibrosarcoma and history of prenatal exposure to petroleum derivatives.
Ortega-García JA, Soldin OP, López-Hernández FA, Trasande L, Ferrís-Tortajada J
Pediatrics 2012 Oct;130(4):e1019-25. Epub 2012 Sep 3 doi: 10.1542/peds.2011-1307. PMID: 22945410Free PMC Article
Recurrent congenital fibrosarcoma with heart metastases.
Lohi O, Vornanen M, Kähkönen M, Vettenranta K, Parto K, Arola M
J Pediatr Hematol Oncol 2012 Jul;34(5):e202-5. doi: 10.1097/MPH.0b013e31823320e9. PMID: 22217490
Signal transduction pathways in sarcoma as targets for therapeutic intervention.
Tuveson DA, Fletcher JA
Curr Opin Oncol 2001 Jul;13(4):249-55. doi: 10.1097/00001622-200107000-00007. PMID: 11429482
Congenital fibrosarcoma of the upper extremity.
Pousti TJ, Upton J, Loh M, Grier H
Plast Reconstr Surg 1998 Sep;102(4):1158-62. doi: 10.1097/00006534-199809040-00037. PMID: 9734437

Prognosis

Differential diagnostic features between congenital haemangioma, KHE, and congenital fibrosarcoma: a single-centre experience.
AbouZeid AA, Mohammad SA, Aly NH, Elghandour MM, AbdelLatif M, Elsayed SM, El-Naggar O, Attia EAS, Ragab IA
Eur J Pediatr 2021 Aug;180(8):2581-2589. Epub 2021 May 19 doi: 10.1007/s00431-021-04119-7. PMID: 34009469
Pan-Trk Immunohistochemistry Is an Efficient and Reliable Screen for the Detection of NTRK Fusions.
Hechtman JF, Benayed R, Hyman DM, Drilon A, Zehir A, Frosina D, Arcila ME, Dogan S, Klimstra DS, Ladanyi M, Jungbluth AA
Am J Surg Pathol 2017 Nov;41(11):1547-1551. doi: 10.1097/PAS.0000000000000911. PMID: 28719467Free PMC Article
Fetal presentation of congenital fibrosarcoma of the meninges: case report and literature review.
Marguet F, Bergogne L, Laurent N, Rousseau T, Laquerrière A
Clin Neuropathol 2015 Mar-Apr;34(2):70-5. doi: 10.5414/NP300811. PMID: 25492889
Congenital fibrosarcoma.
Blocker S, Koenig J, Ternberg J
J Pediatr Surg 1987 Jul;22(7):665-70. doi: 10.1016/s0022-3468(87)80123-9. PMID: 3612464
Congenital fibrosarcoma.
Balsaver AM, Butler JJ, Martin RG
Cancer 1967 Oct;20(10):1607-16. doi: 10.1002/1097-0142(196710)20:10<1607::aid-cncr2820201007>3.0.co;2-#. PMID: 6058170

Clinical prediction guides

Pan-Trk Immunohistochemistry Is an Efficient and Reliable Screen for the Detection of NTRK Fusions.
Hechtman JF, Benayed R, Hyman DM, Drilon A, Zehir A, Frosina D, Arcila ME, Dogan S, Klimstra DS, Ladanyi M, Jungbluth AA
Am J Surg Pathol 2017 Nov;41(11):1547-1551. doi: 10.1097/PAS.0000000000000911. PMID: 28719467Free PMC Article
Cellular mesoblastic nephroma: morphologic, cytogenetic and molecular links with congenital fibrosarcoma.
Henno S, Loeuillet L, Henry C, D'Hervé D, Azzis O, Ferrer J, Poulain P, Babut JM, Merlio JP, Jouan H, Dubus P
Pathol Res Pract 2003;199(1):35-40. doi: 10.1078/0344-0338-00350. PMID: 12650516
A case of congenital infantile fibrosarcoma of the right hand.
Kimura C, Kitamura T, Sugihara T
J Dermatol 1998 Nov;25(11):735-41. doi: 10.1111/j.1346-8138.1998.tb02493.x. PMID: 9863287
The role of cytogenetics in the classification of soft tissue tumours.
Dei Tos AP, Dal Cin P
Virchows Arch 1997 Aug;431(2):83-94. doi: 10.1007/s004280050073. PMID: 9293889
Ultrastructural, immunocytochemical, and cytogenetic characterization of a large congenital fibrosarcoma.
Argyle JC, Tomlinson GE, Stewart D, Schneider NR
Arch Pathol Lab Med 1992 Sep;116(9):972-5. PMID: 1524466

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