E-ISSN 2577-2058
 

Case Report 


Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.

Christina Natalia Ramoh , Yuefen Zou, Felix Hamzah, Lipeng Yu, Yan Zhu.

Abstract
Clear cell sarcoma is a rare malignant soft tissue neoplasm with a predilection for arising deep soft tissues adjacent to tendons and aponeuroses and fascial structures. This report presents a 32-year-old woman with low back pain and swelling, night sweat and lateral numbness in her right thigh for three months. MRI revealed a 4.0 x 5.8 cm vertebral lesion on the right lumbar region, without characteristics of a melanin rich tumor. Immunohistochemistry and fluorescence in situ hybridization confirmed diagnosis of clear cell sarcoma. The patient underwent a chemotherapy protocol. At four months post-surgery, CT revealed a soft tissue lesion in the right L3, suspected to be either a cancer relapse or harmless post-surgery lesion. Radiotherapy was performed in precaution of a relapse. At eleven months post-surgery, tumor relapse and multiple bone metastasis were observed. Combination of imaging methods improves diagnostics and subsequently differentiate clear cell sarcoma from other pathologies.

Key words: clear cell sarcoma of soft parts; spine; lumbar vertebrae; mr imaging diagnosis; rare malignant tumor


 
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How to Cite this Article
Pubmed Style

CNR, Zou Y, Hamzah F, Yu L, Zhu Y, . Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. A J Diagn Imaging. 2020; 6(1): 7-14. doi:10.5455/ajdi.20190309122412


Web Style

CNR, Zou Y, Hamzah F, Yu L, Zhu Y, . Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. http://www.jdiagnosticimaging.com/?mno=36063 [Access: February 15, 2020]. doi:10.5455/ajdi.20190309122412


AMA (American Medical Association) Style

CNR, Zou Y, Hamzah F, Yu L, Zhu Y, . Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. A J Diagn Imaging. 2020; 6(1): 7-14. doi:10.5455/ajdi.20190309122412



Vancouver/ICMJE Style

CNR, Zou Y, Hamzah F, Yu L, Zhu Y, . Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. A J Diagn Imaging. (2020), [cited February 15, 2020]; 6(1): 7-14. doi:10.5455/ajdi.20190309122412



Harvard Style

, C. N. R., Zou, Y., Hamzah, F., Yu, L., Zhu, Y. & (2020) Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. A J Diagn Imaging, 6 (1), 7-14. doi:10.5455/ajdi.20190309122412



Turabian Style

, Christina Natalia Ramoh, Yuefen Zou, Felix Hamzah, Lipeng Yu, Yan Zhu, and . 2020. Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. American Journal of Diagnostic Imaging , 6 (1), 7-14. doi:10.5455/ajdi.20190309122412



Chicago Style

, Christina Natalia Ramoh, Yuefen Zou, Felix Hamzah, Lipeng Yu, Yan Zhu, and . "Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.." American Journal of Diagnostic Imaging 6 (2020), 7-14. doi:10.5455/ajdi.20190309122412



MLA (The Modern Language Association) Style

, Christina Natalia Ramoh, Yuefen Zou, Felix Hamzah, Lipeng Yu, Yan Zhu, and . "Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.." American Journal of Diagnostic Imaging 6.1 (2020), 7-14. Print. doi:10.5455/ajdi.20190309122412



APA (American Psychological Association) Style

, C. N. R., Zou, Y., Hamzah, F., Yu, L., Zhu, Y. & (2020) Clear Cell Sarcoma of Lumbar Vertebra: A case report on how imaging improved diagnostics after initial suspicions.. American Journal of Diagnostic Imaging , 6 (1), 7-14. doi:10.5455/ajdi.20190309122412





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    Ganesh Singh Dharmshaktu,
    A J Diagn Imaging. 2019; 5(1): 15-16
    » Abstract » doi: 10.5455/ajdi.20181112014739

  • Ultrasound Evaluation of Morphologic Changes of Transplanted Kidneys in Sudanese Patients
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    A J Diagn Imaging. 2018; 3(1): 1-6
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  • Development and design of an undergraduate radiology teaching e-portfolio for clinical practice and professional development
    Mohamed M Abuzaid, Wiam Elshami, Leena David, Zarmeena Noorjan, Asma Abdi
    A J Diagn Imaging. 2018; 3(1): 7-11
    » Abstract » doi: 10.5455/ajdi.20171008024201

  • Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report
    Ganesh Singh Dharmshaktu, Binit Singh, Alamgir Jhan
    A J Diagn Imaging. 2018; 3(1): 12-14
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  • Pre-operative staging of carcinoma of tongue using Ultrasonography and Magnetic Resonance imaging
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    A J Diagn Imaging. 2017; 2(1): 8-13
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  • Duodenal Perforation and Entero-osseous Fistula from Ingestion of a Fork Two Years Prior
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    » Abstract » doi: 10.5455/ajdi.20170616123139

  • Welcome to Journal of Diagnostic Imaging
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    A J Diagn Imaging. 2016; 1(1): i-i
    » Abstract & References » doi: 10.5455/ajdi.20160410223511

  • CENTRAL GIANT CELL GRANULOMA- A CASE REPORT
    CHARVI CHAWLA, PRASANNA KUMAR RAO, RAGHAVENDRA KINI, GOWRI P BHANDARKAR, ROOPASHRI KASHYAP, VIDYA HOLLA
    A J Diagn Imaging. 2017; 2(1): 17-20
    » Abstract » doi: 10.5455/ajdi.20161219105205

  • 'Patellar tooth' sign revisited- An incidental CT finding
    Ganesh Singh Dharmshaktu,
    A J Diagn Imaging. 2019; 5(1): 15-16
    » Abstract » doi: 10.5455/ajdi.20181112014739

  • Ultrasound Evaluation of Morphologic Changes of Transplanted Kidneys in Sudanese Patients
    Moawia Gameraddin
    A J Diagn Imaging. 2018; 3(1): 1-6
    » Abstract » doi: 10.5455/ajdi.20171124060523

  • Development and design of an undergraduate radiology teaching e-portfolio for clinical practice and professional development
    Mohamed M Abuzaid, Wiam Elshami, Leena David, Zarmeena Noorjan, Asma Abdi
    A J Diagn Imaging. 2018; 3(1): 7-11
    » Abstract » doi: 10.5455/ajdi.20171008024201

  • Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report
    Ganesh Singh Dharmshaktu, Binit Singh, Alamgir Jhan
    A J Diagn Imaging. 2018; 3(1): 12-14
    » Abstract » doi: 10.5455/ajdi.20170902061321

  • Pre-operative staging of carcinoma of tongue using Ultrasonography and Magnetic Resonance imaging
    Dr Nilu Malpani Dhoot, Dr Suman Hazarika, Dr Binoy Choudhury, Dr Amal chandra Kataki, Dr Hridayananda Goswami, Dr Ranjan Baruah, Dr Rajib Sharma
    A J Diagn Imaging. 2017; 2(1): 8-13
    » Abstract » doi: 10.5455/ajdi.20161226053617

  • Duodenal Perforation and Entero-osseous Fistula from Ingestion of a Fork Two Years Prior
    Ross Alexander Ogilvie, Nancy Elizabeth Budorick
    A J Diagn Imaging. 2017; 2(2): 39-40
    » Abstract » doi: 10.5455/ajdi.20170914072006

  • Voriconazole-Induced Periostitis: A Radiographic Progression
    Alyssa Cubbison, Piotr Obara, Terrence Demos
    A J Diagn Imaging. 2017; 2(2): 31-34
    » Abstract » doi: 10.5455/ajdi.20170608104413

  • Oro-Antral Fistula: Radio-diagnostic lessons from a rare case.
    GEON PAULY, ROOPASHRI RAJESH KASHYAP, ROSHAN SHETTY, RAGHAVENDRA KINI, PRASANNA KUMAR RAO, GIRISH Y R
    A J Diagn Imaging. 2017; 2(1): 21-24
    » Abstract » doi: 10.5455/ajdi.20170616123139

  • Welcome to Journal of Diagnostic Imaging
    Editorial Team
    A J Diagn Imaging. 2016; 1(1): i-i
    » Abstract & References » doi: 10.5455/ajdi.20160410223511

  • CENTRAL GIANT CELL GRANULOMA- A CASE REPORT
    CHARVI CHAWLA, PRASANNA KUMAR RAO, RAGHAVENDRA KINI, GOWRI P BHANDARKAR, ROOPASHRI KASHYAP, VIDYA HOLLA
    A J Diagn Imaging. 2017; 2(1): 17-20
    » Abstract » doi: 10.5455/ajdi.20161219105205

  • 'Patellar tooth' sign revisited- An incidental CT finding
    Ganesh Singh Dharmshaktu,
    A J Diagn Imaging. 2019; 5(1): 15-16
    » Abstract » doi: 10.5455/ajdi.20181112014739

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    Moawia Gameraddin
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    » Abstract » doi: 10.5455/ajdi.20171008024201

  • Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report
    Ganesh Singh Dharmshaktu, Binit Singh, Alamgir Jhan
    A J Diagn Imaging. 2018; 3(1): 12-14
    » Abstract » doi: 10.5455/ajdi.20170902061321

  • Pre-operative staging of carcinoma of tongue using Ultrasonography and Magnetic Resonance imaging
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    A J Diagn Imaging. 2017; 2(1): 8-13
    » Abstract » doi: 10.5455/ajdi.20161226053617

  • Duodenal Perforation and Entero-osseous Fistula from Ingestion of a Fork Two Years Prior
    Ross Alexander Ogilvie, Nancy Elizabeth Budorick
    A J Diagn Imaging. 2017; 2(2): 39-40
    » Abstract » doi: 10.5455/ajdi.20170914072006

  • Voriconazole-Induced Periostitis: A Radiographic Progression
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    A J Diagn Imaging. 2017; 2(2): 31-34
    » Abstract » doi: 10.5455/ajdi.20170608104413

  • Oro-Antral Fistula: Radio-diagnostic lessons from a rare case.
    GEON PAULY, ROOPASHRI RAJESH KASHYAP, ROSHAN SHETTY, RAGHAVENDRA KINI, PRASANNA KUMAR RAO, GIRISH Y R
    A J Diagn Imaging. 2017; 2(1): 21-24
    » Abstract » doi: 10.5455/ajdi.20170616123139

  • Welcome to Journal of Diagnostic Imaging
    Editorial Team
    A J Diagn Imaging. 2016; 1(1): i-i
    » Abstract & References » doi: 10.5455/ajdi.20160410223511

  • CENTRAL GIANT CELL GRANULOMA- A CASE REPORT
    CHARVI CHAWLA, PRASANNA KUMAR RAO, RAGHAVENDRA KINI, GOWRI P BHANDARKAR, ROOPASHRI KASHYAP, VIDYA HOLLA
    A J Diagn Imaging. 2017; 2(1): 17-20
    » Abstract » doi: 10.5455/ajdi.20161219105205

  • 'Patellar tooth' sign revisited- An incidental CT finding
    Ganesh Singh Dharmshaktu,
    A J Diagn Imaging. 2019; 5(1): 15-16
    » Abstract » doi: 10.5455/ajdi.20181112014739

  • Ultrasound Evaluation of Morphologic Changes of Transplanted Kidneys in Sudanese Patients
    Moawia Gameraddin
    A J Diagn Imaging. 2018; 3(1): 1-6
    » Abstract » doi: 10.5455/ajdi.20171124060523

  • Development and design of an undergraduate radiology teaching e-portfolio for clinical practice and professional development
    Mohamed M Abuzaid, Wiam Elshami, Leena David, Zarmeena Noorjan, Asma Abdi
    A J Diagn Imaging. 2018; 3(1): 7-11
    » Abstract » doi: 10.5455/ajdi.20171008024201

  • Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report
    Ganesh Singh Dharmshaktu, Binit Singh, Alamgir Jhan
    A J Diagn Imaging. 2018; 3(1): 12-14
    » Abstract » doi: 10.5455/ajdi.20170902061321

  • Pre-operative staging of carcinoma of tongue using Ultrasonography and Magnetic Resonance imaging
    Dr Nilu Malpani Dhoot, Dr Suman Hazarika, Dr Binoy Choudhury, Dr Amal chandra Kataki, Dr Hridayananda Goswami, Dr Ranjan Baruah, Dr Rajib Sharma
    A J Diagn Imaging. 2017; 2(1): 8-13
    » Abstract » doi: 10.5455/ajdi.20161226053617

  • Duodenal Perforation and Entero-osseous Fistula from Ingestion of a Fork Two Years Prior
    Ross Alexander Ogilvie, Nancy Elizabeth Budorick
    A J Diagn Imaging. 2017; 2(2): 39-40
    » Abstract » doi: 10.5455/ajdi.20170914072006

  • Voriconazole-Induced Periostitis: A Radiographic Progression
    Alyssa Cubbison, Piotr Obara, Terrence Demos
    A J Diagn Imaging. 2017; 2(2): 31-34
    » Abstract » doi: 10.5455/ajdi.20170608104413

  • Oro-Antral Fistula: Radio-diagnostic lessons from a rare case.
    GEON PAULY, ROOPASHRI RAJESH KASHYAP, ROSHAN SHETTY, RAGHAVENDRA KINI, PRASANNA KUMAR RAO, GIRISH Y R
    A J Diagn Imaging. 2017; 2(1): 21-24
    » Abstract » doi: 10.5455/ajdi.20170616123139

  • Welcome to Journal of Diagnostic Imaging
    Editorial Team
    A J Diagn Imaging. 2016; 1(1): i-i
    » Abstract & References » doi: 10.5455/ajdi.20160410223511

  • CENTRAL GIANT CELL GRANULOMA- A CASE REPORT
    CHARVI CHAWLA, PRASANNA KUMAR RAO, RAGHAVENDRA KINI, GOWRI P BHANDARKAR, ROOPASHRI KASHYAP, VIDYA HOLLA
    A J Diagn Imaging. 2017; 2(1): 17-20
    » Abstract » doi: 10.5455/ajdi.20161219105205

  • 'Patellar tooth' sign revisited- An incidental CT finding
    Ganesh Singh Dharmshaktu,
    A J Diagn Imaging. 2019; 5(1): 15-16
    » Abstract » doi: 10.5455/ajdi.20181112014739

  • Ultrasound Evaluation of Morphologic Changes of Transplanted Kidneys in Sudanese Patients
    Moawia Gameraddin
    A J Diagn Imaging. 2018; 3(1): 1-6
    » Abstract » doi: 10.5455/ajdi.20171124060523

  • Development and design of an undergraduate radiology teaching e-portfolio for clinical practice and professional development
    Mohamed M Abuzaid, Wiam Elshami, Leena David, Zarmeena Noorjan, Asma Abdi
    A J Diagn Imaging. 2018; 3(1): 7-11
    » Abstract » doi: 10.5455/ajdi.20171008024201

  • Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report
    Ganesh Singh Dharmshaktu, Binit Singh, Alamgir Jhan
    A J Diagn Imaging. 2018; 3(1): 12-14
    » Abstract » doi: 10.5455/ajdi.20170902061321

  • Pre-operative staging of carcinoma of tongue using Ultrasonography and Magnetic Resonance imaging
    Dr Nilu Malpani Dhoot, Dr Suman Hazarika, Dr Binoy Choudhury, Dr Amal chandra Kataki, Dr Hridayananda Goswami, Dr Ranjan Baruah, Dr Rajib Sharma
    A J Diagn Imaging. 2017; 2(1): 8-13
    » Abstract » doi: 10.5455/ajdi.20161226053617

  • Duodenal Perforation and Entero-osseous Fistula from Ingestion of a Fork Two Years Prior
    Ross Alexander Ogilvie, Nancy Elizabeth Budorick
    A J Diagn Imaging. 2017; 2(2): 39-40
    » Abstract » doi: 10.5455/ajdi.20170914072006

  • Voriconazole-Induced Periostitis: A Radiographic Progression
    Alyssa Cubbison, Piotr Obara, Terrence Demos
    A J Diagn Imaging. 2017; 2(2): 31-34
    » Abstract » doi: 10.5455/ajdi.20170608104413

  • Oro-Antral Fistula: Radio-diagnostic lessons from a rare case.
    GEON PAULY, ROOPASHRI RAJESH KASHYAP, ROSHAN SHETTY, RAGHAVENDRA KINI, PRASANNA KUMAR RAO, GIRISH Y R
    A J Diagn Imaging. 2017; 2(1): 21-24
    » Abstract » doi: 10.5455/ajdi.20170616123139

  • Welcome to Journal of Diagnostic Imaging
    Editorial Team
    A J Diagn Imaging. 2016; 1(1): i-i
    » Abstract & References » doi: 10.5455/ajdi.20160410223511

  • CENTRAL GIANT CELL GRANULOMA- A CASE REPORT
    CHARVI CHAWLA, PRASANNA KUMAR RAO, RAGHAVENDRA KINI, GOWRI P BHANDARKAR, ROOPASHRI KASHYAP, VIDYA HOLLA
    A J Diagn Imaging. 2017; 2(1): 17-20
    » Abstract » doi: 10.5455/ajdi.20161219105205

  • 'Patellar tooth' sign revisited- An incidental CT finding
    Ganesh Singh Dharmshaktu,
    A J Diagn Imaging. 2019; 5(1): 15-16
    » Abstract » doi: 10.5455/ajdi.20181112014739

  • Ultrasound Evaluation of Morphologic Changes of Transplanted Kidneys in Sudanese Patients
    Moawia Gameraddin
    A J Diagn Imaging. 2018; 3(1): 1-6
    » Abstract » doi: 10.5455/ajdi.20171124060523

  • Development and design of an undergraduate radiology teaching e-portfolio for clinical practice and professional development
    Mohamed M Abuzaid, Wiam Elshami, Leena David, Zarmeena Noorjan, Asma Abdi
    A J Diagn Imaging. 2018; 3(1): 7-11
    » Abstract » doi: 10.5455/ajdi.20171008024201

  • Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report
    Ganesh Singh Dharmshaktu, Binit Singh, Alamgir Jhan
    A J Diagn Imaging. 2018; 3(1): 12-14
    » Abstract » doi: 10.5455/ajdi.20170902061321

  • Pre-operative staging of carcinoma of tongue using Ultrasonography and Magnetic Resonance imaging
    Dr Nilu Malpani Dhoot, Dr Suman Hazarika, Dr Binoy Choudhury, Dr Amal chandra Kataki, Dr Hridayananda Goswami, Dr Ranjan Baruah, Dr Rajib Sharma
    A J Diagn Imaging. 2017; 2(1): 8-13
    » Abstract » doi: 10.5455/ajdi.20161226053617

  • Duodenal Perforation and Entero-osseous Fistula from Ingestion of a Fork Two Years Prior
    Ross Alexander Ogilvie, Nancy Elizabeth Budorick
    A J Diagn Imaging. 2017; 2(2): 39-40
    » Abstract » doi: 10.5455/ajdi.20170914072006

  • Voriconazole-Induced Periostitis: A Radiographic Progression
    Alyssa Cubbison, Piotr Obara, Terrence Demos
    A J Diagn Imaging. 2017; 2(2): 31-34
    » Abstract » doi: 10.5455/ajdi.20170608104413

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