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Surgical treatment of malignant triton tumor of the spinal root (a rare clinical observation)

https://doi.org/10.56618/2071-2693_2023_15_2_140

Abstract

Malignant newt tumor (MNT) is a highly aggressive malignant neoplasm classified as a variant of malignant peripheral nerve sheath tumor (MPNT) with rhabdomyoblast differentiation. MDRF with divergent (heterologous) differentiation with the presence of a rhabdoid component is extremely rare, accounting for 5 % of all MRRF, which accounts for approximately 2 % of all soft tissue sarcomas. A subgroup of tumors in which malignant Schwann cells coexist with malignant rhabdomyoblasts is called malignant newt tumor (MNT) [10]. In most published clinical observations, newt tumor malignancy occurs in the head, neck, limbs, and trunk [15]. Limited reports of OST are available in the neurooncological literature and are most commonly described as sporadic newt tumor malignancy in the setting of neurofibromatosis type 1 (NF1). A rare clinical case of surgical treatment of OST, Th5 spinal root in a 61-year-old woman is described. 

About the Authors

A. V. Kudziev
“National Medical Research Center named after N.N. V. A. Almazova” of the Ministry of Health of Russia
Russian Federation

St. Petersburg, Akkuratova st. 12



A. S. Nazarov
“National Medical Research Center named after N.N. V. A. Almazova” of the Ministry of Health of Russia
Russian Federation

St. Petersburg, Akkuratova st. 12



Yu. V.  Belyakov
“National Medical Research Center named after N.N. V. A. Almazova” of the Ministry of Health of Russia
Russian Federation

St. Petersburg, Akkuratova st. 12



D. A. Sitovskaya
“National Medical Research Center named after N.N. V. A. Almazova” of the Ministry of Health of Russia
Russian Federation

St. Petersburg, Akkuratova st. 12



Yu.  M.  Zabrodskaya
“National Medical Research Center named after N.N. V. A. Almazova” of the Ministry of Health of Russia
Russian Federation

St. Petersburg, Akkuratova st. 12



E. A. Oleynik
“National Medical Research Center named after N.N. V. A. Almazova” of the Ministry of Health of Russia
Russian Federation

St. Petersburg, Akkuratova st. 12



A.  Yu. Orlov
“National Medical Research Center named after N.N. V. A. Almazova” of the Ministry of Health of Russia
Russian Federation

St. Petersburg, Akkuratova st. 12



References

1. AlAli BM, Amr SS. Malignant Glandular Triton Tumor Arising in the Radial Nerve with Prolonged Survival: A Case Report and Review of the Literature. Case Rep Pathol. 2021;2021:4614185. doi:10.1155/2021/4614185

2. Bian Y, Yongbo X, Xi Z, Zhao D, Wu H, Liu Y. A series of 10 malignant triton tumors in one institution. Medicine (Baltimore). 2019 Sep;98(36): e16797. doi: 10.1097/MD.0000000000016797. PMID: 31490366; PMCID: PMC6739022.

3. Brooks JS, Freeman M, Enterline HT. Malignant “Triton” tumors. Natural history and immunohistochemistry of nine new cases with literature review. Cancer. 1985 Jun 1;55(11):2543–2549

4. Daimaru Y, Hashimoto H, Enjoji M: Malignant “triton” tumors: a clinicopathologic and immunohistochemical study of nine cases. Hum Pathol. 1984, 15: 768–778. doi.10.1016/S0046–8177 (84) 80169‑0

5. Herzberg J, Corradini GM, von Seydewitz C, Guraya SY, Strate T, Honarpisheh H. Malignant triton tumor of the rectum — A case report and review of the literature. Int J Surg Case Rep. 2020;76:517–521. doi:10.1016/j.ijscr.2020.10.027

6. Kamran SC, Howard SA, Shinagare AB, et al. Malignant peripheral nerve sheath tumors: prognostic impact of rhabdomyoblastic differentiation (malignant triton tumors), neurofibromatosis 1 status and location. Eur J Surg Oncol. 2013;39(1):46–52. doi:10.1016/j.ejso.2012.09.001

7. Li Z, Xiang J, Yan S, Gao F, Zheng S. Malignant triton tumor of the retroperitoneum: a case report and review of the literature. World J Surg Oncol. 2012 May 30;10:96. doi: 10.1186/1477‑7819‑10‑96. PMID: 22647059; PMCID: PMC3410818.

8. Masson P. Experimental and Spontaneous Schwannomas (Peripheral Gliomas): II. Spontaneous Schwannomas. Am J Pathol. 1932;8(4):389–416.11.

9. Farid M, Demicco EG, Garcia R, Ahn L, Merola PR, Cioffi A, Maki RG. Malignant peripheral nerve sheath tumors. Oncologist. 2014 Feb;19(2):193–201. doi: 10.1634/theoncologist.2013–0328. Epub 2014 Jan 27. PMID: 24470531; PMCID: PMC3926794.

10. Prieto R, Pascual JM, Garc ́ıa-Cabezas MA, Lo ́pez-Barea F, Barrios L, Gonza ́lez-Llanos F. Low-grade malignant triton tumor in the lumbar spine: a rare variant of malignant peripheral nerve sheath tumor with rhabdomyoblastic differentiation. Neuropathology 2012;32:180e9.

11. Qiao J, Li Y, Sun F, Xiao Y, Tian Y, Tang K. Case Report Malignant Triton Tumor of the Prostate: A Case Report, 2017, www.ijcem.com

12. Shete S, Bolde S, Pandit G, Matkari P, Ingle SB. Unusual histological variant of malignant peripheral nerve sheath tumor with rhabdomyoblastic differentiation. World J Clin Cases 2015; 3(4): 389–392 [PMID: 25879014 DOI: 10.12998/wjcc.v3.i4.389]

13. Stasik CJ, Tawfik O. Malignant peripheral nerve sheath tumor with rhabdomyosarcomatous differentiation (malignant triton tumor). Arch Pathol Lab Med. 2006;130(12):1878–1881. doi:10.5858/2006–130–1878-MPNSTW

14. Terzic A, Bode B, Gratz KW, Stoeckli SJ. Prognostic factors for the malignant triton tumor of the head and neck. Head Neck. 2009;31(5):679–688. doi:10.1002/hed.21051

15. Weiss SW, Goldblum JR. Malignant tumors of peripheral nerves. In: Weiss SW, Goldblum JR, editors. Enzingerand Weiss’s soft tissue tumors. 5th ed. China: Mosby Elsevier; 2008. p. 903.

16. Woodruff JM, Chernik NL, Smith MC, Millett WB, Foote FW. Peripheral nerve tumors with rhabdomyosarcomatous differentiation (malignant “Triton” tumors). Cancer. 1973, 32: 426–439. doi.10.1002/1097–0142(197308)32:2<426: AIDCNCR 2820320221>3.0.CO;2-W.


Review

For citations:


Kudziev A.V., Nazarov A.S., Belyakov Yu.V., Sitovskaya D.A., Zabrodskaya Yu.M., Oleynik E.A., Orlov A.Yu. Surgical treatment of malignant triton tumor of the spinal root (a rare clinical observation). Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(2):140-144. (In Russ.) https://doi.org/10.56618/2071-2693_2023_15_2_140

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