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      Surgical resection of a giant mass pushing the boundaries of the chest wall: An Askin's tumor

      case-report
      Author(s): 1 , , 1
      Publication date (Electronic):
      Journal: Turkish Journal of Thoracic and Cardiovascular Surgery
      Publisher: Bayçınar Medical Publishing
      Keywords: Askin

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          Abstract

          Intrathoracic masses may arise from the chest wall, mediastinum, pleura, and pulmonary parenchyma. Primary malign tumors of the chest wall and pleura usually present with chest pain; however, the tumor may sometimes remain asymptomatic, until it grows large enough to cause compression-related symptoms. Herein, we present a 35-year-old female case with a giant intrathoracic mass. The patient was diagnosed with an Askin"s tumor and underwent extended surgical resection.

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          Most cited references6

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          Malignant small cell tumor of the thoracopulmonary region in childhood: a distinctive clinicopathologic entity of uncertain histogenesis.

          F B Askin, J Rosai, R K Sibley … (1979)
          This report describes a unique clinicopathologic entity characterized as a malignant small cell tumor of the thoracopulmonary region in 20 children and adolescents (average age 14.5 years). There was a female predilection (75%) for this tumor which appeared to originate in the soft tissues of the chest wall or the peripheral lung. The neoplasm tended to recur locally and did not seem to disseminate as widely as some of the other small cell tumors of childhood (rhabdomyosarcoma, Ewing's sarcoma, neuroblastoma and malignant lymphoma). However, the median survival was only 8 months. Electron microscopy of 3 cases suggested a neuroepithelial derivation, but, at the present, the histogeneis remains a subject for further investigation.
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            A tumor of the ulnar nerve

            AP Stout, A Stout, A.P. STOUT … (1918)
            Article 0 comments Cited 28 times – based on 0 reviews     Review now
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              Prognostic factors and outcome in Askin-Rosai tumor: a review of 104 patients.

              Siddhartha Laskar, Chandrika Nair, Suman Mallik … (2011)
              To evaluate the prognostic factors and treatment outcome of patients with Askin-Rosai tumor of the chest wall treated at a single institution. Treatment comprised multiagent chemotherapy and local therapy, which was either in the form of surgery alone, radical external-beam radiotherapy (EBRT) alone, or a combination of surgery and EBRT. Thirty-two patients (40%) were treated with all three modalities, 21 (27%) received chemotherapy and radical EBRT, and 19 (24%) underwent chemotherapy followed by surgery only. One hundred four consecutive patients aged 3-60 years were treated at the Tata Memorial Hospital from January 1995 to October 2003. Most (70%) were male (male/female ratio, 2.3:1). Asymptomatic swelling (43%) was the most common presenting symptom, and 25% of patients presented with distant metastasis. After a median follow-up of 28 months, local control, disease-free survival, and overall survival rates were 67%, 36%, and 45%, respectively. Median time to relapse was 25 months, and the median survival was 76 months. Multivariate analysis revealed age ≥18 years, poor response to induction chemotherapy, and presence of pleural effusion as indicators of inferior survival. Fifty-six percent of patients with metastatic disease at presentation died within 1 month of diagnosis, with 6-month and 5-year actuarial survival of 14% and 4%, respectively. Primary tumor size, pleural effusion, response to chemotherapy, and optimal radiotherapy were important prognostic factors influencing outcome. The combination of neoadjuvant chemotherapy, surgery, and radiotherapy resulted in optimal outcome. Copyright © 2011 Elsevier Inc. All rights reserved.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Turk Gogus Kalp Damar Cerrahisi Derg
                Journal ID (iso-abbrev): Turk Gogus Kalp Damar Cerrahisi Derg
                Title: Turkish Journal of Thoracic and Cardiovascular Surgery
                Publisher: Bayçınar Medical Publishing
                ISSN (Print): 1301-5680
                ISSN (Electronic): 2149-8156
                Publication date Collection: January 2023
                Publication date (Electronic): 30 January 2023
                Volume: 31
                Issue: 1
                Pages: 131-135
                Affiliations
                [1 ] Department of Thoracic Surgery, University of Health Sciences, Izmir Dr. Suat Seren Chest Diseases and Surgery Hospital SUAM, Izmir, Türkiye
                Author notes
                Güntuğ Batıhan, MD. gbatihan@ 123456hotmail.com .
                Article
                DOI: 10.5606/tgkdc.dergisi.2023.20761
                PMC ID: 10012988
                PubMed ID: 36926158
                SO-VID: 17ef1b27-4f4d-4aa5-81ee-a60f8cde5742
                Copyright © Copyright © 2023, Turkish Society of Cardiovascular Surgery
                License:

                This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                Date received : 14 September 2020
                Date accepted : 30 November 2020
                Categories
                Subject: Case Report

                Keywords: askin
                Data availability:
                Keywords: askin

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