Malignant Granular Cell Tumor of the Back: A Case Report and Review of the Literature

Malignant granular cell tumors are rare, intensely aggressive entities. This paper presents a case of a large rapidly recurrent malignant granular cell tumor with regional and distal metastases on the back of a 54-year-old Cuban man. The primary tumor recurred within six months of the original wide...

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Main Authors: Laura Stone McGuire, Danny Yakoub, Mecker G. Möller, Andrew Rosenberg, Alan Livingstone
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2014/794648
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author Laura Stone McGuire
Danny Yakoub
Mecker G. Möller
Andrew Rosenberg
Alan Livingstone
author_facet Laura Stone McGuire
Danny Yakoub
Mecker G. Möller
Andrew Rosenberg
Alan Livingstone
author_sort Laura Stone McGuire
collection DOAJ
description Malignant granular cell tumors are rare, intensely aggressive entities. This paper presents a case of a large rapidly recurrent malignant granular cell tumor with regional and distal metastases on the back of a 54-year-old Cuban man. The primary tumor recurred within six months of the original wide local excision and with satellite lesions apparent at twelve months, and the mass was diagnosed using the histological criteria established by Fanburg-Smith et al. for malignant granular cell tumors. By fifteen months, right axillary lymphadenopathy, multiple satellite lesions, pulmonary nodules, and distant metastasis in the right thigh were present. At sixteen months, wide local excision of recurrent mass and local satellite masses along with right axillary dissection and placement of Integra with subsequent split-thickness skin graft were performed by surgical oncology and plastic surgery teams. The surgical specimen measured 32.0 × 13.5 × 5.5 cm, containing multiple homogeneous masses with the largest mass 22.0 × 9.0 × 4.6 cm. Following surgery, patient was started on Pazopanib 800 mg/day based on phase III randomized trial data in the treatment of soft tissue sarcomas showing this as a potential novel therapy for malignant granular cell tumors.
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spelling doaj-art-16448582970a4270aa28a37773a4e3cc2025-02-03T01:27:35ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/794648794648Malignant Granular Cell Tumor of the Back: A Case Report and Review of the LiteratureLaura Stone McGuire0Danny Yakoub1Mecker G. Möller2Andrew Rosenberg3Alan Livingstone4Division of Surgical Oncology, University of Miami Miller School of Medicine, Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center, 1120 NW 14th Street, CRB C232, Miami, FL 33136, USADivision of Surgical Oncology, University of Miami Miller School of Medicine, Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center, 1120 NW 14th Street, CRB C232, Miami, FL 33136, USADivision of Surgical Oncology, University of Miami Miller School of Medicine, Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center, 1120 NW 14th Street, CRB C232, Miami, FL 33136, USADepartment of Pathology, University of Miami Miller School of Medicine, Miami, FL 33136, USADivision of Surgical Oncology, University of Miami Miller School of Medicine, Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center, 1120 NW 14th Street, CRB C232, Miami, FL 33136, USAMalignant granular cell tumors are rare, intensely aggressive entities. This paper presents a case of a large rapidly recurrent malignant granular cell tumor with regional and distal metastases on the back of a 54-year-old Cuban man. The primary tumor recurred within six months of the original wide local excision and with satellite lesions apparent at twelve months, and the mass was diagnosed using the histological criteria established by Fanburg-Smith et al. for malignant granular cell tumors. By fifteen months, right axillary lymphadenopathy, multiple satellite lesions, pulmonary nodules, and distant metastasis in the right thigh were present. At sixteen months, wide local excision of recurrent mass and local satellite masses along with right axillary dissection and placement of Integra with subsequent split-thickness skin graft were performed by surgical oncology and plastic surgery teams. The surgical specimen measured 32.0 × 13.5 × 5.5 cm, containing multiple homogeneous masses with the largest mass 22.0 × 9.0 × 4.6 cm. Following surgery, patient was started on Pazopanib 800 mg/day based on phase III randomized trial data in the treatment of soft tissue sarcomas showing this as a potential novel therapy for malignant granular cell tumors.http://dx.doi.org/10.1155/2014/794648
spellingShingle Laura Stone McGuire
Danny Yakoub
Mecker G. Möller
Andrew Rosenberg
Alan Livingstone
Malignant Granular Cell Tumor of the Back: A Case Report and Review of the Literature
Case Reports in Medicine
title Malignant Granular Cell Tumor of the Back: A Case Report and Review of the Literature
title_full Malignant Granular Cell Tumor of the Back: A Case Report and Review of the Literature
title_fullStr Malignant Granular Cell Tumor of the Back: A Case Report and Review of the Literature
title_full_unstemmed Malignant Granular Cell Tumor of the Back: A Case Report and Review of the Literature
title_short Malignant Granular Cell Tumor of the Back: A Case Report and Review of the Literature
title_sort malignant granular cell tumor of the back a case report and review of the literature
url http://dx.doi.org/10.1155/2014/794648
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