Thorac Cardiovasc Surg 2010; 58(5): 306-308
DOI: 10.1055/s-0029-1186198
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Complete Clinical Response to Neoadjuvant Chemotherapy in a 54-year-old Male with Askin Tumor

J. Mulsow1 , M. Jeffers2 , R. McDermott3 , J. Geraghty1 , J. Rothwell1
  • 1Department of Surgery, Adelaide and Meath Hospital, Tallaght, Dublin, Ireland
  • 2Department of Cellular Pathology, Adelaide and Meath Hospital, Tallaght, Dublin, Ireland
  • 3Department of Oncology, Adelaide and Meath Hospital, Tallaght, Dublin, Ireland
Further Information

Publication History

received February 16, 2009

Publication Date:
02 August 2010 (online)

Abstract

Askin tumor is a tumor of the thoracopulmonary region that most commonly affects children and adolescents. These rare tumors are a form of primitive neuroectodermal tumor and typically carry a poor prognosis. Treatment is multimodal and consists of a combination of neoadjuvant chemotherapy, radical resection, and adjuvant chemo- and radiotherapy or all of the above. Surgery is advocated in most cases. We report a case of Askin tumor in a 54-year-old male who showed rapid and complete response to neoadjuvant chemotherapy. This allowed potentially radical surgery to be avoided. At one-year follow-up he remains disease-free.

References

  • 1 Veronesi G, Spaggiari L, De Pas T et al. Preoperative chemotherapy is essential for conservative surgery of Askin tumors.  J Thorac Cardiovasc Surg. 2003;  125 (2) 428-429
  • 2 Baldini E H, Demetri G D, Fletcher C D et al. Adults with Ewing's sarcoma/primitive neuroectodermal tumor: adverse effect of older age and primary extraosseous disease on outcome.  Ann Surg. 1999;  230 (1) 79-86
  • 3 Oberlin O, Deley M C, Bui B N et al. Prognostic factors in localized Ewing's tumours and peripheral neuroectodermal tumours: the third study of the French Society of Paediatric Oncology (EW88 study).  Br J Cancer. 2001;  85 (11) 1646-1654
  • 4 Grier H E, Krailo M D, Tarbell N J et al. Addition of ifosfamide and etoposide to standard chemotherapy for Ewing's sarcoma and primitive neuroectodermal tumor of bone.  N Engl J Med. 2003;  348 (8) 694-701
  • 5 Shamberger R C, LaQuaglia M P, Gebhardt M C et al. Ewing sarcoma/primitive neuroectodermal tumor of the chest wall: impact of initial versus delayed resection on tumor margins, survival, and use of radiation therapy.  Ann Surg. 2003;  238 (4) 563-568

Dr. Jurgen Mulsow

Department of Surgery
Adelaide and Meath Hospital

Tallaght

24 Dublin

Ireland

Phone: + 35 3 14 14 22 13

Fax: + 35 3 14 14 22 12

Email: jmulsow@rcsi.ie

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