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Malignant Gastrointestinal Neuroectodermal Tumor: A New Kid on the Block?

Authors:
Ajaykumar C Morani Nisha S Ramani Sireesha Yedururi Srinivasa R Prasad

J Comput Assist Tomogr 2022 Jun 28. Epub 2022 Jun 28.

From the Department of Abdominal Radiology, The University of Texas MD Anderson Cancer Center.

Abstract: Also referred to as "osteoclast-rich, clear cell sarcoma-like tumor of the gastrointestinal tract (CCSLGT)," malignant gastrointestinal neuroectodermal tumor is a newly described, rare, aggressive sarcoma that commonly arises in the small bowel, stomach, and colon. Histogenesis is likely from an autonomous nervous system-related primitive cell of neural crest origin. The hallmark genetic finding of EWS-CREB1 or EWS-ATF1 fusion transcripts clinches the diagnosis. Annular constrictive lesions tend to be smaller, show homogenous contrast enhancement on computed tomography, and may present with bowel obstruction. Larger, expansile masses tend to be exophytic and show heterogeneous contrast enhancement. Surgical resection is the mainstay of treatment. Frequent recurrences, metastases, and death from disease in 75% of patients portend a poor prognosis. Targeted chemotherapy based on specific tumor pathways is being developed.

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http://dx.doi.org/10.1097/RCT.0000000000001350DOI Listing
June 2022

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Ajaykumar C Morani Nisha S Ramani Sireesha Yedururi Srinivasa R Prasad

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From the Department of Abdominal Radiology, The University of Texas MD Anderson Cancer Center.

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View Article and Full-Text PDF
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