CC BY 4.0 · Brazilian Journal of Oncology 2021; 17: e-20210029
DOI: 10.5935/2526-8732.20210029
Case Report
Clinical Oncology

Malignant giant cell tumor of the uterus: a case report

Tumor maligno de células gigantes do útero: um relato de caso
Rivadávio Antunes Menacho de Oliveira
1   Londrina Cancer Hospital, Clinical Oncology - Londrina - Paraná - Brazil
,
Carlos Eduardo Stecca
1   Londrina Cancer Hospital, Clinical Oncology - Londrina - Paraná - Brazil
,
Tassiara Silva
1   Londrina Cancer Hospital, Clinical Oncology - Londrina - Paraná - Brazil
,
Mariana Miyasaki Piovesana
1   Londrina Cancer Hospital, Clinical Oncology - Londrina - Paraná - Brazil
,
Veruska Peron
1   Londrina Cancer Hospital, Clinical Oncology - Londrina - Paraná - Brazil
,
Angela Gordan
2   Londrina Cancer Hospital, Pathologic Anatomy - Londrina - Paraná - Brazil
› Author Affiliations
Financial support: None to declare.

ABSTRACT

This report describes a rare case of malignant extraosseous giant cell tumor (GCT). It refers to a patient with an initial diagnosis of a locally advanced malignant GCT of the uterus, with disease progression to lung and mediastinum seven months after the diagnosis, requiring first line treatment with chemotherapy. Extraosseous presentation of GCT with early distant dissemination is unusual and the role of systemic cytotoxic treatment remains unclear.

RESUMO

O presente relato descreve uma apresentação clínica rara de um tumor de células gigantes (TCG). O caso relatado se refere a uma paciente portadora de um TCG uterino maligno localmente avançado que evoluiu com metástase pulmonar e mediastinal sete meses após o diagnóstico, necessitando de primeira linha de tratamento com quimioterapia. TCG extraósseo, especialmente quando associado a comportamento agressivo e disseminação à distância precoce e altamente infrequente, e o papel do tratamento sistêmico citotóxico permanece incerto.



Publication History

Received: 20 October 2020

Accepted: 13 August 2021

Article published online:
24 September 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

Bibliographical Record
Rivadávio Antunes Menacho de Oliveira, Carlos Eduardo Stecca, Tassiara Silva, Mariana Miyasaki Piovesana, Veruska Peron, Angela Gordan. Malignant giant cell tumor of the uterus: a case report. Brazilian Journal of Oncology 2021; 17: e-20210029.
DOI: 10.5935/2526-8732.20210029
 
  • REFERENCES

  • 1 Catalan J. et al. Tumor de células gigantes ósseo: aspectos clínicos e radiográficos de 115 casos. Radiol Bras vol.39 no.2 São Paulo Mar./Apr. 2006 http://dx.doi.org/10.1590/S010039842006000200009
  • 2 Lee JC, Liang CW, Fletcher C. Giant cell tumor of soft tissue is genetically distinct from its bone counterpart. Mod Pathol 30: 728-733 2017; https://doi.org/10.1038/modpathol.2016.236
  • 3 Oliveira AM, Dei Tos AP, Fletcher CD, Nascimento AG. Primary giant cell tumor of soft tissues: a study of 22 cases. Am J Surg Pathol 2000; Feb; 24 (02) 248-256 . PMID: 10680893
  • 4 Soule EH, Enriquez P. Atypical fibrous histiocytoma, malignant fibrous histiocytoma, malignant histiocytoma, and epithelioid sarcoma. A comparative study of 65 tumors. Cancer 1972; 30: 128-143
  • 5 Guccion JG, Enzinger FM. Malignant giant cell tumor of soft parts. An analysis of 32 cases. Cancer 1972; 29 (06) 1518-1529
  • 6 Mavrogenis AF, Tsukamoto S, Antoniadou T, Righi A, Errani C. Giant Cell Tumor of Soft Tissue: A Rare Entity. Orthopedics 2019; 42 (04) e364-e369
  • 7 Pilon VA, Parikh N, Maccera J. 1986 Malignant osteoclast-like giant cell tumor associated with uterine leiomyosarcoma
  • 8 GynecolOncol. 1986; 23:381-386.8.8 Bennett J, Sanada S, Selig M, Hariri L, Nielsen G, Oliva E. (2015). Giant cell tumor of theuterus: a report of 3 cases with a spectrum of morphologic features. Int J GynecolPathol2015 Jul;34(4):34050. doi10.1097/PGP.0000000000000164.
  • 9 Darby AJ, Papadaki L, Beilby JO. (1975). An unusual leiomyosarcoma of the uterus containing osteoclastlike giant cells. Cancer 1975; 36: 495-504
  • 10 Watanabe K, Hiraki H, Ohishi M. et al. (1996). Uterine leiomyosarcoma with osteoclast-like giant cells: histopathological and cytological observations. Pathol Int 1996; 46: 656-660 . 10
  • 11 Fadare O, McCalip B, Mariappan MR, Hileeto D, Parkash V. (2005). An endometrial stromal tumor with osteoclast-like giant cells: expanding the morphological spectrum. Ann Diag Pathol 2005; 9: 160-165
  • 12 Thomas DM, Skubitz KM. Giant cell tumor of bone. CurrOpinOncol 2009; 21: 338-344
  • 13 Manglik Niti, Sawicki Janusz, Saad Andre, Fadare Oluwole, Soslow Robert, Liang Sharon X. (2012). Giant Cell Tumor of Uterus Resembling Osseous Giant Cell Tumor: Case Report and Review of Literature. International Journal of Surgical Pathology 20 (06) 618-622
  • 14 O'Connell JX, Wehrli BM, Nielsen GP, Rosenberg AE. Giant cell tumors of soft tissue: a Clinicopathologic study of 18 benign and malignant tumors. Am J Surg Pathol 2000; Mar; 24 (03) 386-395 . PMID: 10716152
  • 15 Magni E, Lauritzen AF, Wilken-Jensen C, Horn T. Malignant giant cell tumour of the uterus. APMIS Suppl 1991; 23: 113-118
  • 16 Sieinski W. Malignant giant cell tumor associated with leiomyosarcoma of the uterus. Cancer 1990; 65: 1838-1842
  • 17 Hülya Ayık Aydın. , Hasan Aykut Tuncer , Gülgün Erdoğan, Tayup Şimşek: Uterine giant cell carcinoma: a case report and review of the literature. Turk J Obstet Gynecol 2019; Mar; 16 (01) 76-79
  • 18 Aru A, Norup P, Bjerregaard B, Andreasson B, Horn T. Osteoclast-like giant cells in leiomyomatous tumors of the uterus. A case report and review of the literature. Acta Obstet Gynecol Scand 2001; 80: 371-374
  • 19 Zheng MH, Xu J, Robbins P, Pavlos N, Wysocki S, Kumta SM, Wood DJ, Papadimitriou JM. Gene expression of vascular endothelial growth factor in giant cell tumors of bone. Hum Pathol 2000; 31: 804-812
  • 20 Chang SS, Suratwala SJ, Jung KM, Doppelt JD, Zhang HZ, Blaine TA, Kim TW, Winchester RJ, Lee FY. Bisphosphonates may reduce recurrence in giant cell tumor by inducing apoptosis. Clin Orthop Relat Res 2004; 103-109
  • 21 Skubitz K. M, Manivel J. C. (2007). Giant cell tumor of the uterus: case report and response to chemotherapy. BMC cancer 7: 46
  • 22 Pilon VA, Parikh N, Maccera J. (1986). Malignant osteoclast-like giant cell tumor associated with uterine leiomyosarcoma. GynecolOncol 1986; 23: 381-386
  • 23 Alemán-Meza L, Gómez-Macías GS, Barboza-Quintana O, Garza-Guajardo R, Loya-Solis A. Osteoclastic giant cell rich squamous cell carcinoma of the uterine cervix: a case report and review of the literature. Case Rep Pathol 2014 2014; 415328